NPIMap

Organization Active NPI

Assad Creative Arts Therapy LLC

Doing business as Assad Creative Arts Therapy

  • Mental Health Counselor
  • Norfolk, MA
National Provider Identifier
1639526247
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8061 Issued in MA
Legal business name
ASSAD CREATIVE ARTS THERAPY LLC
Doing business as
Assad Creative Arts Therapy
Practice address
58 King St
Norfolk, MA 02056-1725
Phone
(919) 259-3623
NPI assigned
May 24, 2016
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Ms. Christine Noelle Assad, LMHCNPI 1144457714
Title
Owner
Phone
(919) 259-3623

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
Mental Health Counselor 101YM0800X 8061 MA Primary

Addresses

Primary practice location

58 King St
Norfolk, MA 02056-1725

Mailing address

58 King St
Norfolk, MA 02056-1725
Phone (919) 259-3623

Other identifiers 1

IdentifierTypeStateIssuer
8061OtherMACOMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE

Other names 1

  • Assad Creative Arts Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1639526247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 KING ST",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561725",
            "telephone_number": "919-259-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 KING ST",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561725",
            "telephone_number": "919-259-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSAD CREATIVE ARTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "ASSAD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-259-3623",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE",
            "identifier": "8061",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assad Creative Arts Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.