NPIMap

Organization Active NPI

Create(D) Counseling, LLC

  • Mental Health Counselor
  • Norman Park, GA
National Provider Identifier
1821866526
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATE(D) COUNSELING, LLC
Practice address
496 Cool Springs Rd
Norman Park, GA 31771-4508
Phone
(912) 660-8227
Fax
(877) 720-2715
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Vicki Colls, ED.D., M.A.NPI 1790419851
Title
Owner
Phone
(912) 660-8227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

496 Cool Springs Rd
Norman Park, GA 31771-4508

Mailing address

496 Cool Springs Rd
Norman Park, GA 31771-4508
Phone (912) 660-8227

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1821866526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 COOL SPRINGS RD",
            "city": "NORMAN PARK",
            "state": "GA",
            "postal_code": "317714508",
            "telephone_number": "912-660-8227",
            "fax_number": "877-720-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 COOL SPRINGS RD",
            "city": "NORMAN PARK",
            "state": "GA",
            "postal_code": "317714508",
            "telephone_number": "912-660-8227",
            "fax_number": "877-720-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE(D) COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "COLLS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-660-8227",
        "authorized_official_credential": "ED.D., M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.