Creative Solutions Group Trauma Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CREATIVE SOLUTIONS GROUP TRAUMA SERVICES LLC

Practice address

14960 Woodcarver Rd Ste 101
Colorado Springs, CO 80921-2370

Phone

(719) 822-1495

Fax

(719) 960-2766

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Lisa Dorner-Zupancic, LPCNPI 1205184322

Title

Owner

Phone

(719) 822-1495

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Creative Solutions Group Counseling Services LLC Former legal business name
• Lisa Dorner-Zupancic Other name

Locations

Practitioners 1

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

• Lisa Ann Dorner-Zupancic, NCC, LPC

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1205184322

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1417577842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20370 DRENNAN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809289514",
            "telephone_number": "719-822-1495",
            "fax_number": "719-960-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14960 WOODCARVER RD STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212370",
            "telephone_number": "719-822-1495",
            "fax_number": "719-960-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20370 Drennan Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809289514",
            "country_code": "US",
            "telephone_number": "719-822-1495",
            "fax_number": "719-960-2766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2975 Broadmoor Valley Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064466",
            "country_code": "US",
            "telephone_number": "719-822-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE SOLUTIONS GROUP TRAUMA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DORNER-ZUPANCIC",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-822-1495",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "9000149376",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Solutions Group Counseling Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lisa Dorner-Zupancic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Janet Marie Creelman, RN
• Rachel Crees
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• Joseph Thomas Crepps Jr., M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.