Organization Active NPI

Creative Self-Leadership & Design PLLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
National Provider Identifier
1962267880
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE SELF-LEADERSHIP & DESIGN PLLC
Practice address
1246 Meadow Lake Rd
Virginia Beach, VA 23454-2105
Phone
(773) 954-1678
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Mr. Eres Rapree, LPCNPI 1629174867
Title
Manager
Phone
(773) 954-1678

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

1246 Meadow Lake Rd
Virginia Beach, VA 23454-2105

Mailing address

1246 Meadow Lake Rd
Virginia Beach, VA 23454-2105
Phone (773) 954-1678

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": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1962267880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 MEADOW LAKE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542105",
            "telephone_number": "773-954-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 MEADOW LAKE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542105",
            "telephone_number": "773-954-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SELF-LEADERSHIP & DESIGN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "RAPREE",
        "authorized_official_first_name": "ERES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-954-1678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.