Organization Active NPI

Creating Compassion, LLC

  • Mental Health Counselor
  • Roanoke, VA
National Provider Identifier
1619616042
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATING COMPASSION, LLC
Practice address
1215 3Rd St SW
Roanoke, VA 24016-4611
Phone
(540) 268-3411
Fax
(540) 413-0268
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Maria Weaver
Title
Office Manager
Phone
(540) 529-8543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1215 3Rd St SW
Roanoke, VA 24016-4611

Mailing address

5980 Buckland Mill Rd
Roanoke, VA 24019-6725
Phone (540) 529-8543

Other identifiers 1

IdentifierTypeStateIssuer
601413152MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301003330 VA Part B Supplier - Clinic/Group Practice 4284079021 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Locations

4335 Brambleton Ave
Roanoke, VA 24018
Phone (540) 268-3411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1619616042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 BUCKLAND MILL RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196725",
            "telephone_number": "540-529-8543",
            "fax_number": "540-400-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164611",
            "telephone_number": "540-268-3411",
            "fax_number": "540-413-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING COMPASSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-529-8543"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601413152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.