Active NPI
Fearlessly Inspired Therapeutic Solutions, LLC
- Professional Counselor
- Annapolis, MD
National Provider Identifier
1669182176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- FEARLESSLY INSPIRED THERAPEUTIC SOLUTIONS, LLC
- Practice address
- 139 Old Solomons Island Rd Ste F
Annapolis, MD 21401-0906 - Phone
- (301) 750-1065
- NPI assigned
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laryssa Creswell, ED.D., LCPC, MTBC
- Title
- Owner/Therapist
- Phone
- (301) 750-1065
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Art Therapist | 221700000X | |||
| Music Therapist | 225A00000X |
Addresses
Primary practice location
139 Old Solomons Island Rd Ste F
Annapolis, MD 21401-0906
Mailing address
139 Old Solomons Island Rd Ste F
Annapolis, MD 21401-0906
Phone (301) 750-1065
National Provider Directory
National Provider DirectoryLocations
139 Old Solomons Island Rd
Ste F
Annapolis, MD 21401
Phone (301) 750-1065
153 Mayo Rd
Edgewater, MD 21037
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Annapolis, MD
- NPI 1427513209
Music Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1669182176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 OLD SOLOMONS ISLAND RD STE F",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214010906",
"telephone_number": "301-750-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 OLD SOLOMONS ISLAND RD STE F",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214010906",
"telephone_number": "301-750-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEARLESSLY INSPIRED THERAPEUTIC SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "CRESWELL",
"authorized_official_first_name": "LARYSSA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "301-750-1065",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D., LCPC, MTBC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.