Organization Active NPI

Creative Counseling Services

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1619308517
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CREATIVE COUNSELING SERVICES
Practice address
913 W Holmes Rd
Suite 179
Lansing, MI 48910-0426
Phone
(517) 862-9378
NPI assigned
Dec 3, 2013
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Shana Bombrys, LMSW
Title
Owner-Counselor
Phone
(517) 862-9378

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

913 W Holmes Rd
Suite 179
Lansing, MI 48910-0426

Mailing address

913 W Holmes Rd
Suite 179
Lansing, MI 48910-0426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1619308517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD",
            "address_2": "SUITE 179",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD",
            "address_2": "SUITE 179",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100426",
            "telephone_number": "517-862-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "BOMBRYS",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER-COUNSELOR",
        "authorized_official_telephone_number": "517-862-9378",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.