Creative Counseling Studio, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701002736 Issued in VA

Legal business name

CREATIVE COUNSELING STUDIO, LLC

Practice address

385 Garrisonville Rd
Suite 112
Stafford, VA 22554-1545

Phone

(703) 507-6866

NPI assigned

Apr 9, 2010

Last updated

Apr 9, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Allen Holmes, LPCNPI 1659419067

Title

Director

Phone

(703) 507-6866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Walton Holmes, M.A., L.P.C.

  • Mental Health Counselor
  • Portland, OR
  • NPI 1659419067
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1619293024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE ROAD",
            "address_2": "SUITE 112",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "703-507-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD",
            "address_2": "SUITE 112",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541545",
            "telephone_number": "703-507-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-507-6866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659419067",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Massena-Mazur Coutcher
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• Marsha Jackie Cox
• Sydney Cranford
• Julie Anne Craver
• Amanda Madeline Crittenden, ATC
• Amanda Marie Cronin
• Cruising in Comfort LLC
• Melinda Cruz, PHD., LCP
• Susan Katherine Cugle-Lopez, MASSAGE THERAPIST

• Professional Counselor in Stafford, VA
• Providers in Stafford, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.