Organization Active NPI

Developing Creative Activities, LLC.

  • Peer Specialist
  • Orlando, FL
National Provider Identifier
1871246751
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
DEVELOPING CREATIVE ACTIVITIES, LLC.
Practice address
1850 N Alafaya TRL Ste C
Orlando, FL 32826-4745
Phone
(321) 588-9364
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Mrs. Kerleen V ClaxtonNPI 1962158311
Title
Ceo
Phone
(321) 588-9364

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
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
Peer SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

1850 N Alafaya TRL Ste C
Orlando, FL 32826-4745

Mailing address

1850 N Alafaya TRL Ste C
Orlando, FL 32826-4745
Phone (321) 588-9364

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DESKTOP-QRSI4M4

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1871246751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N ALAFAYA TRL STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264745",
            "telephone_number": "321-588-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N ALAFAYA TRL STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264745",
            "telephone_number": "321-588-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPING CREATIVE ACTIVITIES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "CLAXTON",
        "authorized_official_first_name": "KERLEEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-588-9364",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DESKTOP-QRSI4M4",
            "affiliation": "N",
            "endpointDescription": "Windows 10 64 bit",
            "address_1": "1850 N Alafaya Trl Ste C",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328264745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.