Imagine & Create Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

IMAGINE & CREATE THERAPY LLC

Practice address

229 Western Ave
Brattleboro, VT 05301-6589

Phone

(802) 536-4067

Fax

(802) 327-8327

NPI assigned

Dec 3, 2019

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi Beck, LICSWNPI 1376776765

Title

Owner/ Therapist

Phone

(802) 536-4067

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Kristi Beck, LICSW

  • Clinical Social Worker
  • Brattleboro, VT
  • NPI 1376776765
  Authorized official Same address or phone

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1265079842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WESTERN AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016589",
            "telephone_number": "802-536-4067",
            "fax_number": "802-327-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 WESTERN AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016589",
            "telephone_number": "802-536-4067",
            "fax_number": "802-327-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE & CREATE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "802-536-4067",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Howe, D.D.S.
• Lily Hughes-Dunn, LCMHC
• Heather J. Humphrey-Leclaire, LCMHC, LADC
• Jennifer Hunt
• Lynn L Huston, LCMHC
• Inner Bridges Counseling
• Inner Sage Counseling, LLC
• Innerwell Integrative Counseling Services L3C
• Michael A. Italia, MA
• Kara Jean Jacobsen, P.T. MLD/CDT

• Adult Mental Health Clinic/Center in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Adult Mental Health Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.