Organization Active NPI

Creative Horizons Counseling

  • Mental Health Counselor
  • Big Lake, MN
National Provider Identifier
1013603778
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE HORIZONS COUNSELING
Practice address
310 Lake St S Ste 102
Big Lake, MN 55309-4616
Phone
(763) 333-7698
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Rachelle L Morrison-Weseloh, MA, LPCC, ATR-BCNPI 1174036529
Title
Owner
Phone
(763) 333-7698

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

310 Lake St S Ste 102
Big Lake, MN 55309-4616

Mailing address

310 Lake St S Ste 102
Big Lake, MN 55309-4616
Phone (763) 333-7698

National Provider Directory

National Provider Directory

Locations

310 Lake St S
Ste 102
Big Lake, MN 55309
Phone (763) 333-7698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1013603778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LAKE ST S STE 102",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553094616",
            "telephone_number": "763-333-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAKE ST S STE 102",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553094616",
            "telephone_number": "763-333-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HORIZONS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "MORRISON-WESELOH",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-333-7698",
        "authorized_official_credential": "MA, LPCC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.