NPIMap

Organization Active NPI

Creative Learning Therapy

Doing business as Creative Kids Therapy

  • Speech-Language Pathologist
  • Jonesboro, AR
National Provider Identifier
1184948093
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2522 Issued in AR
Legal business name
CREATIVE LEARNING THERAPY
Doing business as
Creative Kids Therapy
Practice address
2025 Sloan Lake Dr
Jonesboro, AR 72404-6894
Phone
(870) 926-3035
NPI assigned
Mar 22, 2010
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Sarah Coker, MCD, CCC-SLPNPI 1467660159
Title
Owner/Admin
Phone
(870) 926-3035

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
Speech-Language Pathologist 235Z00000X SP#2522 AR Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

2025 Sloan Lake Dr
Jonesboro, AR 72404-6894

Mailing address

2025 Sloan Lake Dr
Jonesboro, AR 72404-6894
Phone (870) 926-3035

Other identifiers 3

IdentifierTypeStateIssuer
181273742MedicaidAR
132780786MedicaidAR
SR165OtherARBCBS INSURANCE

Other names 1

  • Creative Kids Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1184948093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SLOAN LAKE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046894",
            "telephone_number": "870-926-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SLOAN LAKE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046894",
            "telephone_number": "870-926-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LEARNING THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "870-926-3035",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2522",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181273742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132780786",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "SR165",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.