Organization Active NPI

Kreative Wellness Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1992559199
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KREATIVE WELLNESS COUNSELING, LLC
Practice address
8500 16TH St Apt 309
Silver Spring, MD 20910-2927
Phone
(215) 715-3779
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Kayla WallingtonNPI 1154994457
Title
Mental Health Counselor / Owner
Phone
(215) 715-3779

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

8500 16TH St Apt 309
Silver Spring, MD 20910-2927

Mailing address

12401 Brickyard Blvd Apt 2061
Beltsville, MD 20705-1625

Other practice location 1

12401 Brickyard Blvd Apt 2061
Beltsville, MD 20705-1625
Phone (215) 715-3779

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": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1992559199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 BRICKYARD BLVD APT 2061",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 16TH ST APT 309",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102927",
            "telephone_number": "215-715-3779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12401 Brickyard Blvd Apt 2061",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207051625",
            "country_code": "US",
            "telephone_number": "215-715-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KREATIVE WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "WALLINGTON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR / OWNER",
        "authorized_official_telephone_number": "215-715-3779"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.