Organization Active NPI

Create Space Meditate, LLC

Doing business as Create Space Meditate

  • Community/Behavioral Health Agency
  • Shoreview, MN
National Provider Identifier
1477277671
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATE SPACE MEDITATE, LLC
Doing business as
Create Space Meditate
Practice address
265 Long Lake CT
Shoreview, MN 55126-4803
Phone
(651) 338-9707
NPI assigned
Sep 30, 2022
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Michelle Swerin, LPCCNPI 1437786761
Title
Founder / Therapist
Phone
(651) 338-9707

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

265 Long Lake CT
Shoreview, MN 55126-4803

Mailing address

265 Long Lake CT
Shoreview, MN 55126-4803
Phone (651) 338-9707

Other identifiers 3

IdentifierTypeStateIssuer
NPI1760771810OtherMTM PHARMACISTMAMARO
LPCC888MSOtherMNCLINICAL THERAPISTMSWERIN
NPI1437786761OtherCLINICAL THERAPISTMSWERIN

Other names 1

  • Create Space Meditate Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address michelleswerin@createspacemeditate.com Direct
Direct Messaging Address michelleswerin@createspacemeditate.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1477277671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LONG LAKE CT",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264803",
            "telephone_number": "651-338-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 LONG LAKE CT",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264803",
            "telephone_number": "651-338-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE SPACE MEDITATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2023-11-29",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "SWERIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "FOUNDER / THERAPIST",
        "authorized_official_telephone_number": "651-338-9707",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTM PHARMACISTMAMARO",
            "identifier": "NPI1760771810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL THERAPISTMSWERIN",
            "identifier": "LPCC888MS",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL THERAPISTMSWERIN",
            "identifier": "NPI1437786761",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelleswerin@createspacemeditate.com",
            "affiliation": "N",
            "endpointDescription": "Klara Hippa compliant text to email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "265 Long Lake Ct",
            "city": "Shoreview",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551264803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelleswerin@createspacemeditate.com",
            "affiliation": "N",
            "endpointDescription": "Klara Hippa compliant text to email /",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "265 Long Lake Ct",
            "city": "Shoreview",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551264803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Create Space Meditate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.