Organization Active NPI

Creative Consciousness Health and Wellness

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1114892718
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE CONSCIOUSNESS HEALTH AND WELLNESS
Practice address
1616 E Indian School Rd Ste 255
Phoenix, AZ 85016-8614
Phone
(602) 706-2380
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Mattie Gaffney
Title
Ceo
Phone
(602) 706-2380

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Recovery Care Clinic/Center 261QR0800X
Respite Care 385H00000X

Addresses

Primary practice location

1616 E Indian School Rd Ste 255
Phoenix, AZ 85016-8614

Mailing address

1616 E Indian School Rd Ste 255
Phoenix, AZ 85016-8614

National Provider Directory

National Provider Directory

Locations

1616 E Indian School Rd
Ste 255
Phoenix, AZ 85016
Phone (602) 706-2380

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1114892718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168614",
            "telephone_number": "602-706-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONSCIOUSNESS HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "GAFFNEY",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-706-2380"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.