Creative Storm Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CREATIVE STORM THERAPY, LLC

Practice address

1111 55TH St Ste 4
Kenosha, WI 53140-3611

Phone

(262) 346-5913

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Lori Storm, LPCNPI 1316480312

Title

Owner

Phone

(262) 346-5913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Storm, LPC

  • Professional Counselor
  • Kenosha, WI
  • NPI 1316480312
  Medicare reassignment NPD Authorized official
• Teresa S Fluegel

  • Professional Counselor
  • Kenosha, WI
  • NPI 1568045706
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1194442202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 PENNINGTON LN",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534033960",
            "telephone_number": "262-346-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 55TH ST STE 4",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403611",
            "telephone_number": "262-346-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE STORM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-346-5913",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Crane, DDS
• Crawford Orthodontics, SC
• Devin Michael Crawford, RN
• John Robert Crawford, DDS, MS
• Patrick J Crawford, D.D.S, S.C.
• Nicole Cremona, LPC-IT
• Marc Crescenzo, MD
• David J. Crewe, D.D.S.
• Nathan James Croatt, OTR/L
• Crossroads Care Center of Kenosha

• Professional Counselor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.