Creative Counseling & Wellness Center Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE COUNSELING & WELLNESS CENTER CORP

Practice address

163 Stratford CT
Suite 170
Winston Salem, NC 27103-1836

Phone

(336) 831-4051

Fax

(336) 436-9123

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sonya Renee Oglesby, PHD

Title

Ceo/ Therapist

Phone

(336) 831-4051

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1881822872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 STRATFORD CT",
            "address_2": "SUITE 170",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031836",
            "telephone_number": "336-831-4051",
            "fax_number": "336-436-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 STRATFORD CT",
            "address_2": "SUITE 170",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031836",
            "telephone_number": "336-831-4051",
            "fax_number": "336-436-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING & WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO/ THERAPIST",
        "authorized_official_telephone_number": "336-831-4051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3028A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8040",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8040",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6115116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lena Craver, MD
• Jo Crawford, RPH
• Timothy Wayne Crawford, PH.D.
• Todd Evans Crawford, PA
• Abigail Brooke Creasy, BA, RBT
• Creative Counseling Center
• Creative Stress Solutions, LLC
• Creativethinking Inc.
• Jamesetter Luesinder Credell, LPC
• Jamie Owen Creed, MD

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

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