Creative Counseling Maui, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREATIVE COUNSELING MAUI, LLC

Practice address

95 E Lipoa St Ste 209
Kihei, HI 96753-8191

Phone

(808) 283-8765

NPI assigned

Jul 5, 2022

Last updated

Jul 5, 2022By 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

Wendy TresidderNPI 1356741045

Title

Owner

Phone

(808) 283-8765

Specialties & licenses 1

Addresses

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.

• Wendy Frashure Tresidder, LCSW

  • Clinical Social Worker
  • Kihei, HI
  • NPI 1356741045
  NPD Authorized official

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1386377687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1273",
            "city": "PUUNENE",
            "state": "HI",
            "postal_code": "967841273",
            "telephone_number": "808-283-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E LIPOA ST STE 209",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538191",
            "telephone_number": "808-283-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING MAUI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "TRESIDDER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-283-8765"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jet Corpuz, RBT
• Diane Coulter, M.D.
• Courageous Minds LLC
• Aaron Lee Crafton, PTA
• Sherrie Lynn Craven-Evans, MS MFT
• Deborah S Culver, LMHC
• John F Daley, D.C.
• Stephen D Daly, DO
• Elizabeth Grace Victoria David
• Ava Davis

• Clinical Social Worker in Kihei, HI
• Providers in Kihei, HI by specialty
• Clinical Social Worker in Hawaii

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