NPIMap

Organization Active NPI

Community Resources for Education Alternative Treatments & Evaluation

Doing business as CREATE Inc

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
National Provider Identifier
1336212653
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
800287 Issued in MN
Legal business name
COMMUNITY RESOURCES FOR EDUCATION ALTERNATIVE TREATMENTS & EVALUATION
Doing business as
CREATE Inc
Practice address
2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395
Phone
(612) 874-9811
Fax
(612) 874-9820
NPI assigned
Nov 16, 2006
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mr. Scott Edward Holtzleicer, LADCNPI 1922494988
Title
Executive Director
Phone
(612) 874-9811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 800579 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 802470 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 800287 MN Primary

Addresses

Primary practice location

2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395

Mailing address

2200 E Franklin Ave Ste 200a
Minneapolis, MN 55404-2395
Phone (612) 874-9811

Other identifiers 1

IdentifierTypeStateIssuer
27010OtherMNMEDICAL ASSISTANCE

Other names 1

  • CREATE Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Resources for Education Alternative Treatments Evaluation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1911 Pleasant Ave
Minneapolis, MN 55403
Phone (612) 874-9811

2200 E Franklin Ave
Ste 200A
Minneapolis, MN 55404
Phone (612) 874-9811

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1336212653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E FRANKLIN AVE STE 200A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042395",
            "telephone_number": "612-874-9811",
            "fax_number": "612-874-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E FRANKLIN AVE STE 200A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042395",
            "telephone_number": "612-874-9811",
            "fax_number": "612-874-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESOURCES FOR EDUCATION ALTERNATIVE TREATMENTS & EVALUATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-01-31",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "HOLTZLEICER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-874-9811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "800579",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "802470",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "800287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "27010",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREATE Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CREATE Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.