Organization Active NPI

Creative Pathways Therapy, LLC

  • Community/Behavioral Health Agency
  • Inverness, FL
National Provider Identifier
1922806942
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE PATHWAYS THERAPY, LLC
Practice address
832 S Highway 41
Inverness, FL 34450-6859
Phone
(352) 448-6625
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Reina Matychak, LMHCNPI 1700411154
Title
Owner
Phone
(352) 843-6737

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 Primary

Addresses

Primary practice location

832 S Highway 41
Inverness, FL 34450-6859

Mailing address

4094 SW 168TH Cir
Ocala, FL 34481-6708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250320000225 FL Part B Supplier - Clinic/Group Practice 3072035922 Receives reassigned benefits from 1 practitioner
Practice locations: Inverness, FL

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": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1922806942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 SW 168TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344816708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 S HIGHWAY 41",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344506859",
            "telephone_number": "352-448-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PATHWAYS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "MATYCHAK",
        "authorized_official_first_name": "REINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-843-6737",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.