Organization Active NPI

Empower Play, LLC

Doing business as Creative Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • De Pere, WI
National Provider Identifier
1346093820
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMPOWER PLAY, LLC
Doing business as
Creative Wellness, LLC
Practice address
617 George St
De Pere, WI 54115-2809
Phone
(920) 351-8772
NPI assigned
Apr 8, 2024
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Katherine Ann Szerkins, LCSWNPI 1619690195
Title
Owner
Phone
(920) 351-8772

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

617 George St
De Pere, WI 54115-2809

Mailing address

617 George St
De Pere, WI 54115-2809
Phone (920) 351-8772

Other practice location 1

1142 Orlando Dr
Hobart, WI 54115-9484
Phone (920) 351-8772

Other identifiers 1

IdentifierTypeStateIssuer
100394812MedicaidWI

Other names 1

  • Creative Wellness, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

617 George St
De Pere, WI 54115
Phone (920) 336-3057

1142 Orlando Dr
Hobart, WI 54115
Phone (920) 339-0700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1346093820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 GEORGE ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152809",
            "telephone_number": "920-351-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 GEORGE ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152809",
            "telephone_number": "920-351-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1142 Orlando Dr",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "WI",
            "postal_code": "541159484",
            "country_code": "US",
            "telephone_number": "920-351-8772",
            "fax_number": "920-278-5367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWER PLAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "SZERKINS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-351-8772",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100394812",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.