NPIMap

Organization Active NPI

Creative Beginnings Wellness Center, LLC

  • Mental Health Counselor
  • North Las Vegas, NV
National Provider Identifier
1043793342
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE BEGINNINGS WELLNESS CENTER, LLC
Practice address
3260 Fountain Falls Way Unit 1037
North Las Vegas, NV 89032-2227
Phone
(702) 281-6670
NPI assigned
Sep 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Crea Doster
Title
Owner
Phone
(702) 281-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3260 Fountain Falls Way Unit 1037
North Las Vegas, NV 89032-2227

Mailing address

3260 Fountain Falls Way Unit 1037
North Las Vegas, NV 89032-2227
Phone (702) 281-6670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1043793342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 FOUNTAIN FALLS WAY UNIT 1037",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322227",
            "telephone_number": "702-281-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 FOUNTAIN FALLS WAY UNIT 1037",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322227",
            "telephone_number": "702-281-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE BEGINNINGS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "DOSTER",
        "authorized_official_first_name": "CREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-281-6670"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.