Active NPI
Jeffrey Creamer II, MA, PLPC, NCC
- Professional Counselor
- Fenton, MO
National Provider Identifier
1225817331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2022028893
- Practice address
- 1255 Greenmar Dr
Fenton, MO 63026-3468 - Phone
- (314) 517-8233
- NPI assigned
- Sep 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2022028893 | MO | Primary |
Addresses
Primary practice location
1255 Greenmar Dr
Fenton, MO 63026-3468
Mailing address
1255 Greenmar Dr
Fenton, MO 63026-3468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022028893 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1225817331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 GREENMAR DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630263468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 GREENMAR DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630263468",
"telephone_number": "314-517-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAMER",
"first_name": "JEFFREY",
"name_suffix": "II",
"credential": "MA, PLPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2022028893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.