NPIMap

Organization Active NPI

Creative Family Counseling and Coaching, LLC

  • Professional Counselor
  • Buford, GA
National Provider Identifier
1619495389
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CREATIVE FAMILY COUNSELING AND COACHING, LLC
Practice address
4315 S Lee St Ste 100
Buford, GA 30518-5746
Phone
(770) 648-2500
Fax
(470) 466-0500
NPI assigned
Sep 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Rebecca Muyres, LPC, RPT-S, CPCSNPI 1982730164
Title
Owner/Trilingual Family Therapist
Phone
(770) 648-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4315 S Lee St Ste 100
Buford, GA 30518-5746

Mailing address

4330 S Lee St Ste 600-a
Buford, GA 30518-3072
Phone (770) 648-2500

Other identifiers 1

IdentifierTypeStateIssuer
003186839AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca@creative-family-counseling.com

National Provider Directory

National Provider Directory

Locations

4315 S Lee St
Ste 100
Buford, GA 30518
Phone (770) 648-2500

4330 S Lee St
Ste 600A
Buford, GA 30518
Phone (770) 617-6023

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1619495389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 S LEE ST STE 600-A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183072",
            "telephone_number": "770-648-2500",
            "fax_number": "470-466-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 S LEE ST STE 100",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185746",
            "telephone_number": "770-648-2500",
            "fax_number": "470-466-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE FAMILY COUNSELING AND COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "MUYRES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/TRILINGUAL FAMILY THERAPIST",
        "authorized_official_telephone_number": "770-648-2500",
        "authorized_official_credential": "LPC, RPT-S, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003186839A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca@creative-family-counseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "4315 S Lee St Ste 100",
            "city": "Buford",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305185746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.