Organization Active NPI

Creo Therapy Studio LLC

  • Art Therapist
  • Santa Fe, NM
National Provider Identifier
1104635192
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Legal business name
CREO THERAPY STUDIO LLC
Practice address
5 Juniper Road
Santa Fe, NM 87556
Phone
(650) 380-9547
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Arielle Rothenberg, LPATNPI 1891456729
Title
Owner
Phone
(650) 380-9547

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
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X Primary

Addresses

Primary practice location

5 Juniper Road
Santa Fe, NM 87556

Mailing address

5 Juniper Road
Santa Fe, NM 87556

National Provider Directory

National Provider Directory
Tax ID family
Creo Therapy Studio LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1104635192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JUNIPER ROAD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JUNIPER ROAD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87556",
            "telephone_number": "650-380-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREO THERAPY STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "ROTHENBERG",
        "authorized_official_first_name": "ARIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-380-9547",
        "authorized_official_credential": "LPAT"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.