Creative Counseling Trauma Center for Children and Adults

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATIVE COUNSELING TRAUMA CENTER FOR CHILDREN AND ADULTS

Practice address

222 Wyoming Ave
Kingston, PA 18704-3503

Phone

(570) 288-2040

NPI assigned

Feb 14, 2024

Last updated

Feb 14, 2024By 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

Sandra M. FoxNPI 1629321617

Title

Trauma Therapist

Phone

(570) 288-2040

Specialties & licenses 4

Addresses

Locations

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.

• Sandra Marie Fox, L.C.S.W.

  • Mental Health Counselor
  • Kingston, PA
  • NPI 1629321617
  NPD Authorized official

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1821853425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043503",
            "telephone_number": "570-288-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043503",
            "telephone_number": "570-288-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING TRAUMA CENTER FOR CHILDREN AND ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "TRAUMA THERAPIST",
        "authorized_official_telephone_number": "570-288-2040"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa J. Coroniti, M.D.
• Kimberly Gwen Coslett, CRNP
• Camille Crane, LCSW
• Pamela Crane, RVT
• Sammie Craven III
• Geralyn Cross, DO
• Kailyn Nicole Croucher
• Kevin Crouse, M.D.
• Glorymardy Cruz, FNP-BC
• Diana Cuello, PH.D

• Mental Health Counselor in Kingston, PA
• Providers in Kingston, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.