Louisa Creative Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701006594 Issued in VA

Legal business name

LOUISA CREATIVE COUNSELING, LLC

Practice address

315 Johnny Hall Rd
Mineral, VA 23117-5202

Phone

(540) 604-3267

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By 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

Kristy L Bazzanella, M.A., LPCNPI 1174979207

Title

Owner

Phone

(540) 604-3267

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Louisa Creative Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Louisa Creative Counseling, LLC

  • Mental Health Counselor
  • Mineral, VA
  • NPI 1225484348
  NPD tax ID

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.

• Kristy Bazzanella, LPC

  • Mental Health Counselor
  • Mineral, VA
  • NPI 1174979207
  NPD Authorized official

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1700337078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 ZACHARY TAYLOR HWY",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231175312",
            "telephone_number": "540-604-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 JOHNNY HALL RD",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231175202",
            "telephone_number": "540-604-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA CREATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "BAZZANELLA",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-604-3267",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601101224",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Anna Spa LLC (Lake Anna Spa)
• Lake Anna Urgent Care
• Lakeview Primary Care LLC
• Louisa County Public Schools
• Louisa Creative Counseling, LLC
• Alan Marshall, RPH
• Renee McAdams, ED.S.
• William J. McAveney, M.D.
• Katelyn McDonald
• Mineral Dental Care

• Mental Health Counselor in Mineral, VA
• Providers in Mineral, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.