Organization Active NPI

Creative Therapeutic Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Birmingham, AL
National Provider Identifier
1396360574
Registry record updated Jun 12, 2020
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
CREATIVE THERAPEUTIC SOLUTIONS LLC
Practice address
3536 Vann Rd Ste A12
Birmingham, AL 35235-3208
Phone
(205) 578-2692
NPI assigned
Jun 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Christa R McCrorieNPI 1962032839
Title
Licsw, Owner, Founder
Phone
(205) 567-1101

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 Primary

Addresses

Primary practice location

3536 Vann Rd Ste A12
Birmingham, AL 35235-3208

Mailing address

3536 Vann Rd Ste A12
Birmingham, AL 35235-3208

Other identifiers 1

IdentifierTypeStateIssuer
1962032839MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Christa.mccrorie@therapysecure.com

National Provider Directory

National Provider Directory

Locations

3536 Vann Rd
Ste A12
Birmingham, AL 35235
Phone (205) 578-2692

Interoperability endpoints

  • Direct secure messaging: christa.mccrorie@therapysecure.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1396360574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 VANN RD STE A12",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 VANN RD STE A12",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353208",
            "telephone_number": "205-578-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "MCCRORIE",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICSW, OWNER, FOUNDER",
        "authorized_official_telephone_number": "205-567-1101"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962032839",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christa.mccrorie@therapysecure.com",
            "affiliation": "N",
            "address_1": "3536 Vann Rd Ste A12",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352353208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.