Organization Active NPI

Creative Continuum Therapy LLC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1174329304
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE CONTINUUM THERAPY LLC
Doing business as
Creative Continuum Therapy
Practice address
4641 N 12TH St
Phoenix, AZ 85014-4095
Phone
(480) 442-0325
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Marina Stephanie Doering, LPC ATR-BCNPI 1023554755
Title
Founder, Clinical Director
Phone
(480) 442-0325

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 SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4641 N 12TH St
Phoenix, AZ 85014-4095

Mailing address

4641 N 12TH St
Phoenix, AZ 85014-4095
Phone (480) 442-0325

Other names 1

  • Creative Continuum Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4641 N 12th St
Phoenix, AZ 85014
Phone (480) 442-0325

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": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1174329304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144095",
            "telephone_number": "480-442-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144095",
            "telephone_number": "480-442-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONTINUUM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "DOERING",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "FOUNDER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-442-0325",
        "authorized_official_credential": "LPC ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Continuum Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 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.