Organization Active NPI

Lisa Uranga MHT and Associated

Doing business as Creative Counseling Services

  • Professional Counselor
  • Wake Forest, NC
National Provider Identifier
1871741231
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LISA URANGA MHT AND ASSOCIATED
Doing business as
Creative Counseling Services
Practice address
10520 Ligon Mill Rd
Suite 108
Wake Forest, NC 27587-4575
Phone
(919) 340-0133
Fax
(919) 340-0671
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Mrs. Lisa A Driver, LPC
Title
Owner
Phone
(919) 449-8306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X NC Primary

Addresses

Primary practice location

10520 Ligon Mill Rd
Suite 108
Wake Forest, NC 27587-4575

Mailing address

105 Kingfisher Way
Louisburg, NC 27549-7560
Phone (919) 449-8306

Other identifiers 1

IdentifierTypeStateIssuer
6103291MedicaidNC

Other names 1

  • Creative Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

10520 Ligon Mill Rd
Ste 108
Wake Forest, NC 27587
Phone (919) 263-9592

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1871741231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KINGFISHER WAY",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275497560",
            "telephone_number": "919-449-8306",
            "fax_number": "919-340-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 LIGON MILL RD",
            "address_2": "SUITE 108",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874575",
            "telephone_number": "919-340-0133",
            "fax_number": "919-340-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA URANGA MHT AND ASSOCIATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-449-8306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103291",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.