Creative Living Associates

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2296 Issued in NC

Legal business name

CREATIVE LIVING ASSOCIATES

Practice address

101 Vance Ave
Kannapolis, NC 28081-4339

Phone

(704) 788-9184

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glen Rediehs, PH.D.

Title

Senior Associate

Phone

(704) 788-9184

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043377278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E WT HARRIS BLVD",
            "address_2": "SUITE P-317",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VANCE AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280814339",
            "telephone_number": "704-788-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIVING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "REDIEHS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "SENIOR ASSOCIATE",
        "authorized_official_telephone_number": "704-788-9184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2296",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.