Organization Active NPI

Create Space Counseling

  • Counseling Psychologist
  • Little Rock, AR
National Provider Identifier
1497585129
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
CREATE SPACE COUNSELING
Practice address
610 N Buchanan St
Little Rock, AR 72205-3208
Phone
(501) 590-6072
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Erin Lea Lorenzen, LPC, LMHCNPI 1447842646
Title
Director
Phone
(501) 590-6072

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

610 N Buchanan St
Little Rock, AR 72205-3208

Mailing address

610 N Buchanan St
Little Rock, AR 72205-3208
Phone (501) 590-6072

Other practice location 1

280 S Lewis Ave Apt 4
Fayetteville, AR 72701-5498
Phone (501) 590-6072

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.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1497585129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N BUCHANAN ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053208",
            "telephone_number": "501-590-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N BUCHANAN ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053208",
            "telephone_number": "501-590-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 S Lewis Ave Apt 4",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727015498",
            "country_code": "US",
            "telephone_number": "501-590-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATE SPACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "LORENZEN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-590-6072",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

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