Organization Active NPI

Creative Vision Therapy

  • Clinical Social Worker
  • Saint Cloud, MN
National Provider Identifier
1386467827
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CREATIVE VISION THERAPY
Doing business as
Creative Vision Therapy
Practice address
5101 65TH St SE
Saint Cloud, MN 56304-9528
Phone
(320) 296-2852
NPI assigned
Nov 4, 2024
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Thomas Voigt
Title
Administrator
Phone
(320) 552-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

5101 65TH St SE
Saint Cloud, MN 56304-9528

Mailing address

5101 65TH St SE
Saint Cloud, MN 56304-9528
Phone (320) 296-2852

Other names 1

  • Creative Vision Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250513003269 MN Part B Supplier - Clinic/Group Practice 2961920046 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Cloud, MN

National Provider Directory

National Provider Directory

Locations

11100 SW 93rd Court Rd
Ste 10140
Ocala, FL 34481

56 33rd Ave S
Saint Cloud, MN 56301
Phone (320) 296-2852

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": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1386467827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 65TH ST SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563049528",
            "telephone_number": "320-296-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 65TH ST SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563049528",
            "telephone_number": "320-296-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE VISION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "VOIGT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-552-8500"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Vision Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Vision Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.