Organization Active NPI

Re-Create: Therapy and Wellness

  • Community/Behavioral Health Agency
  • Frederick, MD
National Provider Identifier
1902523343
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RE-CREATE: THERAPY AND WELLNESS
Practice address
263 W Patrick St
Frederick, MD 21701-6910
Phone
(301) 276-4997
NPI assigned
Oct 26, 2022
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Erin Graham, LCPAT, ATR-BCNPI 1508242389
Title
Art Therapist, Owner
Phone
(301) 276-4997

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

263 W Patrick St
Frederick, MD 21701-6910

Mailing address

10703 Lamoka LN
New Market, MD 21774-6891
Phone (410) 279-0380

National Provider Directory

National Provider Directory

Locations

263 W Patrick St
Frederick, MD 21701
Phone (301) 276-4997

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": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1902523343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10703 LAMOKA LN",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746891",
            "telephone_number": "410-279-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016910",
            "telephone_number": "301-276-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-CREATE: THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "ART THERAPIST, OWNER",
        "authorized_official_telephone_number": "301-276-4997",
        "authorized_official_credential": "LCPAT, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.