Active NPI
Brenna Creamer, LPC
- Professional Counselor
- Saint Paul, MN
National Provider Identifier
1255067609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009065
- Practice address
- 241 Cleveland Ave S
Saint Paul, MN 55105-1208 - Phone
- (651) 371-5559
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- 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 | PC009065 | PA | Primary |
Addresses
Primary practice location
241 Cleveland Ave S
Saint Paul, MN 55105-1208
Mailing address
6122 Bluff CT
Dhahran, EASTERN PROVINCE 31311
SA
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009065 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1255067609",
"addresses": [
{
"country_code": "SA",
"country_name": "Saudi Arabia",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "6122 BLUFF CT",
"city": "DHAHRAN",
"state": "EASTERN PROVINCE",
"postal_code": "31311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 CLEVELAND AVE S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551051208",
"telephone_number": "651-371-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAMER",
"first_name": "BRENNA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.