NPIMap

Organization Active NPI

Creative Counseling Services

  • Counselor
  • Gardnerville, NV
National Provider Identifier
1346762622
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CREATIVE COUNSELING SERVICES
Practice address
1255 Waterloo LN
Gardnerville, NV 89410-7403
Phone
(775) 671-5528
NPI assigned
Jul 8, 2017
Last updated
Jan 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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

Authorized official

Name
Shana Stirton, MS, CPC-INTERNNPI 1871867739
Title
Owner
Phone
(775) 671-5528

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1255 Waterloo LN
Gardnerville, NV 89410-7403

Mailing address

1255 Waterloo LN
Gardnerville, NV 89410-7403
Phone (775) 671-5528

Other identifiers 2

IdentifierTypeStateIssuer
1871867739MedicaidNV
1346762622MedicaidNV

National Provider Directory

National Provider Directory

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": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1346762622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 WATERLOO LN",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894107403",
            "telephone_number": "775-671-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WATERLOO LN",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894107403",
            "telephone_number": "775-671-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "STIRTON",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-671-5528",
        "authorized_official_credential": "MS, CPC-INTERN"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871867739",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346762622",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.