Individual provider Active NPI

Sara E Creel

  • Mental Health Counselor
  • Cross City, FL
National Provider Identifier
1932645652
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17610 Issued in FL
Practice address
41 NE 238TH Street
Cross City, FL 32693-5719
Phone
(352) 471-0069
Fax
(352) 244-0304
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17610 FL Primary

Addresses

Primary practice location

41 NE 238TH Street
Cross City, FL 32693-5719

Mailing address

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone (321) 397-3000

Other practice location 1

103 NE 1st St
Chiefland, FL 32626-0920
Phone (352) 439-0069

Other practice location 2

728 NE 7th St
Trenton, FL 32693-3637
Phone (352) 487-0064

Other practice location 3

4300 SW 13th St
Gainesville, FL 32608
Phone (352) 374-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH17610FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc. Past Accepting new patients
Meridian Behavioral Healthcare Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1932645652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084006",
            "telephone_number": "321-397-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NE 238TH STREET",
            "city": "CROSS CITY",
            "state": "FL",
            "postal_code": "326935719",
            "telephone_number": "352-471-0069",
            "fax_number": "352-244-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 NE 1st St",
            "address_purpose": "LOCATION",
            "city": "Chiefland",
            "state": "FL",
            "postal_code": "326260920",
            "country_code": "US",
            "telephone_number": "352-439-0069",
            "fax_number": "352-244-0305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 NE 7th St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "FL",
            "postal_code": "326933637",
            "country_code": "US",
            "telephone_number": "352-487-0064",
            "fax_number": "352-244-0465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 SW 13th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32608",
            "country_code": "US",
            "telephone_number": "352-374-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREEL",
        "first_name": "SARA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.