NPIMap

Organization Active NPI

New Creation Counseling LLC

  • Clinical Social Worker
  • Titusville, FL
National Provider Identifier
1669994158
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13070 Issued in FL
Legal business name
NEW CREATION COUNSELING LLC
Practice address
503 South Palm Ave.
Titusville, FL 32796
Phone
(321) 735-8113
Fax
(833) 921-0180
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Ms. Robin Marie Ahlgren, LCSW
Title
President/Sole Proprietor
Phone
(321) 735-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW13070 FL Primary

Addresses

Primary practice location

503 South Palm Ave.
Titusville, FL 32796

Mailing address

503 South Palm Ave.
Titusville, FL 32796
Phone (321) 735-8113

Other names 1

  • Embrace Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

503 S Palm Ave
Titusville, FL 32796
Phone (321) 735-8113

Practitioners & affiliated clinicians

Practitioners 8

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1669994158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 SOUTH PALM AVE.",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32796",
            "telephone_number": "321-735-8113",
            "fax_number": "833-921-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SOUTH PALM AVE.",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32796",
            "telephone_number": "321-735-8113",
            "fax_number": "833-921-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CREATION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "AHLGREN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "321-735-8113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrace Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.