Creative Mind Health, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CREATIVE MIND HEALTH, LLC

Practice address

10901 W 84TH Ter
Overland Park, KS 66214-1649

Phone

(913) 395-3300

NPI assigned

Oct 6, 2025

Last updated

Aug 8, 2026By 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

Ms. Jessica L Waters, LCAC, LADC, ADDC

Title

Clinical Supervisor

Phone

(913) 395-3300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1336013986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 S RIDGEVIEW RD UNIT 2069",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616438",
            "telephone_number": "913-395-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 W 84TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141649",
            "telephone_number": "913-395-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MIND HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "913-395-3300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCAC, LADC, ADDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Overland Park, KS by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.