Alabaster Creative Arts Therapy
Organization Active NPI Professional Counselor · Wooster, OH
NPI 1992470280 · NPPES record last updated Aug 10, 2021
Key facts
- NPI
- 1992470280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- ALABASTER CREATIVE ARTS THERAPY
- Practice address
- 132 S Market St Ste 204
Wooster, OH 44691-4765 - Phone
- (330) 641-4413
- NPI assigned
- Aug 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Ms. Leah M Mendez Carmona, LPCC-S
- Title
- Owner/Authorized Official
- Phone
- (330) 641-4413
Practitioners 2
-
Emily Ann Frazier, MSW, LISW-S
-
Leah M Mendez Carmona, LPCC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220524002770 | OH | Part B Supplier - Clinic/Group Practice | 8123405586 |
Receives reassigned benefits from 1 practitioner Practice locations: Wooster, OH |
National Provider Directory
Locations
132 S Market St
Ste 204
Wooster, OH 44691
Phone (330) 227-1670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
132 S Market St Ste 204
Wooster, OH 44691-4765
Mailing address
132 S Market St Ste 204
Wooster, OH 44691-4765
Phone (330) 641-4413
Other providers in Wooster, OH
- Affordable Healthcare Partners, LLC
- Abigail Renee Ahrens
- Audrey L Aiello
- Sayeda M Akbar
- Peyton Akers
- Alan R. Kiefer, D.D.S.
- Ashley Alandem
- Susan M Albers-Bowling
- David S Albright
- Alexander Difilippo, D.D.S., Inc.
All providers in Wooster, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.