Creative Path Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE PATH COUNSELING LLC

Practice address

16069 Tampa St
Brooksville, FL 34604-8458

Phone

(203) 706-9325

NPI assigned

May 11, 2021

Last updated

May 11, 2021By 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

Ms. Lina Lacasse

Title

President

Phone

(203) 706-9325

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Sari Elissa Cohen, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1194332502
  Medicare reassignment
• Lisa Lynn Balderstone

  • Mental Health Counselor
  • Spring Hill, FL
  • NPI 1003678624
  NPD
• Nichole Brown, LCSW

  • Clinical Social Worker
  • Spring Hill, FL
  • NPI 1609619758
  NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1629652078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16069 TAMPA ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346048458",
            "telephone_number": "203-706-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16069 TAMPA ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346048458",
            "telephone_number": "203-706-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PATH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "LACASSE",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-706-9325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DRIVER LICENSE",
            "identifier": "L220-520-68-662-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Hernando Board of County Commissioners
• Michael Doyle Courtney, MD
• Jamal Rashaan Craddieth, DO
• Cayisa M Cramer, APRN
• Gary Lee Crawley, M.D.
• Yadiann Marie Crespo Padilla, ACNP
• Tyler W Crickette, MD
• John Crognale, PA
• Jemma Cropanese, PHARMD
• Crown & Care Wellness Studio

• Community/Behavioral Health Agency in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.