Creative Counseling and Studio, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATIVE COUNSELING AND STUDIO, LLC

Practice address

1941 S 42ND St Ste 542
Omaha, NE 68105-2945

Phone

(402) 401-4445

Fax

(402) 702-0583

NPI assigned

Oct 8, 2019

Organization subpart

No

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

Authorized official

Name

Yasmin S Tucker, LIMHP

Title

Provider/Owner

Phone

(402) 401-4445

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 4

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

• Sara Chavez, LIMHP, LCSW, LADC

  • Mental Health Counselor
  • Hastings, NE
  • NPI 1326564865
  Medicare reassignment NPD
• Dana Grisham

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1659147155
  Medicare reassignment NPD
• Yasmin Henderson, ATR, LIMHP, LADC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1043685639
  Medicare reassignment NPD
• Jennifer Hedke

  • Professional Counselor
  • Casco, WI
  • NPI 1952945446

  Mental Health, NE

  Medicare reassignment NPD

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1205477585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 542",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-401-4445",
            "fax_number": "402-702-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 542",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-401-4445",
            "fax_number": "402-702-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING AND STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "402-401-4445",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043685639",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267994-01",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crayon Castle Daycare Inc.
• Khadejah Crayton
• Otjya Vojshay Crayton
• Ashley Elizabeth Creager
• Creating Connections LLC
• Creative Paradigm Therapy LLC
• Bethany Gayle Creek
• Hunter Stephen Creglow, MD
• Creighton Saint Joseph Regional Health Care System, L.L.C. (Creighton University Medical Center)
• Creighton University (Creighton Dental Clinic)

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.