Creative Mind Therapy

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CREATIVE MIND THERAPY

Practice address

522 Paseo del Pueblo Norte
Taos, NM 87571-5999

Phone

(630) 561-5826

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

James Allen CoughlinNPI 1841063666

Title

Owner

Phone

(630) 561-5826

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• James Allen Coughlin

  • Professional Counselor
  • Deming, NM
  • NPI 1841063666

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Marcus Anthony Hall

  • Community Health Worker
  • Taos, NM
  • NPI 1093668618
  NPD (past)

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1497518245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W REDFIELD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535642",
            "telephone_number": "630-561-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 PASEO DEL PUEBLO NORTE",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715999",
            "telephone_number": "630-561-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-561-5826"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Corey, FMP
• Santiago Cortez
• County of Taos
• Rachel Cox, LCSW
• Kelly Cramer, LPCC
• Connie Croom, LPCC
• Crossroads Community Health Clinic
• Crossroads Community Health Clinic, Inc.
• Crossroads Community Health Clinic, Inc.
• Sue Crutcher

• Substance Abuse Rehabilitation Facility in Taos, NM
• Providers in Taos, NM by specialty
• Substance Abuse Rehabilitation Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.