Creative Growth Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CREATIVE GROWTH THERAPY

Practice address

3584 W Outer Dr
Detroit, MI 48221-1662

Phone

(248) 396-4602

NPI assigned

Mar 13, 2021

Organization subpart

No

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

Authorized official

Name

Jenna I Debryn, MA, LPC, ATRNPI 1164905675

Title

Owner

Phone

(504) 407-1713

Specialties & licenses 3

Addresses

Practitioners 1

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

• Jenna Debryn, MA, LPC, ATR

  • Counselor
  • Detroit, MI
  • NPI 1164905675
  NPD Authorized official

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1477138253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211662",
            "telephone_number": "248-396-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211662",
            "telephone_number": "248-396-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE GROWTH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-09-17",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "DEBRYN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-407-1713",
        "authorized_official_credential": "MA, LPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Create U., LLC
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• Creative Arts Therapies, Inc.
• Creative Empowerment Counseling Services, LLC
• Melissa Creech, DPT
• Damon Ali Creighton Jr., MSW
• Neicol Creighton
• Terrance Creighton
• Amanda Lori Cremeens, RN

• Professional Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.