Organization Active NPI

Creative Island Therapy, LLC

  • Behavior Analyst
  • Bonita Springs, FL
National Provider Identifier
1760145379
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CREATIVE ISLAND THERAPY, LLC
Practice address
3384 Woods Edge Cir Ste 104
Bonita Springs, FL 34134-1367
Phone
(239) 235-0522
Fax
(239) 235-0512
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Authorized official

Name
Lorinda Jeanne Roy Moreno, BCBANPI 1942792924
Title
Owner/Manager
Phone
(239) 235-0522

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3384 Woods Edge Cir Ste 104
Bonita Springs, FL 34134-1367

Mailing address

1212 Nuuanu Ave
Honolulu, HI 96817-4021
Phone (239) 235-0522

Other practice location 1

1212 Nuuanu Ave Apt 3412
Honolulu, HI 96817-4039
Phone (239) 235-0522

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lorinda@creativeislandtherapy.com Direct

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.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1760145379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 NUUANU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174021",
            "telephone_number": "239-235-0522",
            "fax_number": "808-752-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 WOODS EDGE CIR STE 104",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341367",
            "telephone_number": "239-235-0522",
            "fax_number": "239-235-0512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Nuuanu Ave Apt 3412",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968174039",
            "country_code": "US",
            "telephone_number": "239-235-0522",
            "fax_number": "808-752-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE ISLAND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "LORINDA",
        "authorized_official_middle_name": "JEANNE ROY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "239-235-0522",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lorinda@creativeislandtherapy.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3384 Woods Edge Cir Ste 104",
            "city": "Bonita Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341341367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.