Creative Community Counseling, Inc. - Medicare Mental Health Clinic in Lakeland, FL

Creative Community Counseling, Inc. is a medicare enrolled mental health clinic (Community/behavioral Health) in Lakeland, Florida. The current practice location for Creative Community Counseling, Inc. is 202 Lake Miriam Dr, W6, Lakeland, Florida. For appointments, you can reach them via phone at (863) 226-5081. The mailing address for Creative Community Counseling, Inc. is 202 Lake Miriam Dr, Lakeland, Florida and phone number is (863) 226-5081.

Creative Community Counseling, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043694219. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (863) 226-5081.

Contact Information

Creative Community Counseling, Inc.
202 Lake Miriam Dr
W6
Lakeland
FL 33813-2180
(863) 226-5081
Not Available

Mental Health Clinic Profile

Full NameCreative Community Counseling, Inc.
SpecialityCommunity/Behavioral Health
Location202 Lake Miriam Dr, Lakeland, Florida
Authorized Official Name and PositionCathy Ghent (CLINICAL DIRECTOR)
Authorized Official Contact8632265081
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Creative Community Counseling, Inc.
202 Lake Miriam Dr
Lakeland
FL 33813-2180

Ph: (863) 226-5081
Creative Community Counseling, Inc.
202 Lake Miriam Dr
W6
Lakeland
FL 33813-2180

Ph: (863) 226-5081

NPI Details:

NPI Number1043694219
Provider Enumeration Date07/16/2015
Last Update Date02/10/2023
Certification Date02/10/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2961735766
Medicare Enrollment IDO20240111000660

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Medical Identifiers

Medical identifiers for Creative Community Counseling, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043694219NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Creative Community Counseling, Inc. acts as a billing entity for following providers:
Provider NameCathy Ghent
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1265835201
PECOS PAC ID: 2062753627
Enrollment ID: I20240111001201

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