Organization Active NPI

Creative Counseling Center

  • Mental Health Counselor
  • Greenwood Village, CO
National Provider Identifier
1285060939
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0103419 Issued in CO
Legal business name
CREATIVE COUNSELING CENTER
Practice address
6021 S Syracuse Way
Ste. 216
Greenwood Village, CO 80111-4730
Phone
(303) 843-6000
Fax
(303) 843-6001
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Teri Karjala, LMFT,LPC, RPT,CAC II
Title
Owner
Phone
(303) 843-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0103419 CO Primary

Addresses

Primary practice location

6021 S Syracuse Way
Ste. 216
Greenwood Village, CO 80111-4730

Mailing address

6021 S Syracuse Way
Ste. 216
Greenwood Village, CO 80111-4730
Phone (303) 843-6000

Other identifiers 1

IdentifierTypeStateIssuer
12452110OtherCOCAQH

National Provider Directory

National Provider Directory

Locations

6021 S Syracuse Way
Ste 216
Greenwood Village, CO 80111
Phone (303) 843-6000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1285060939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 S SYRACUSE WAY",
            "address_2": "STE. 216",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114730",
            "telephone_number": "303-843-6000",
            "fax_number": "303-843-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 S SYRACUSE WAY",
            "address_2": "STE. 216",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114730",
            "telephone_number": "303-843-6000",
            "fax_number": "303-843-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "KARJALA",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-843-6000",
        "authorized_official_credential": "LMFT,LPC, RPT,CAC II"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0103419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12452110",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.