Organization Active NPI

Creative Reflections Counseling, LLC

  • Professional Counselor
  • State College, PA
National Provider Identifier
1851880975
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006346 Issued in PA
Legal business name
CREATIVE REFLECTIONS COUNSELING, LLC
Practice address
315 S Allen St Ste 124B
State College, PA 16801
Phone
(814) 272-1300
Fax
(814) 954-4861
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Margaret Diana Stimmel, LPCNPI 1528376381
Title
Owner
Phone
(814) 272-1300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X PC006346 PA Primary

Addresses

Primary practice location

315 S Allen St Ste 124B
State College, PA 16801

Mailing address

315 S Allen St Ste 124B
State College, PA 16801-4863
Phone (814) 272-1300

Other identifiers 1

IdentifierTypeStateIssuer
102723284-0002MedicaidPA

National Provider Directory

National Provider Directory

Locations

315 S Allen St
Ste 124B
State College, PA 16801
Phone (814) 272-1300

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": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1851880975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST STE 124B",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014863",
            "telephone_number": "814-272-1300",
            "fax_number": "814-954-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST STE 124B",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-272-1300",
            "fax_number": "814-954-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE REFLECTIONS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "STIMMEL",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-272-1300",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102723284-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.