Creative Counseling Connection, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATIVE COUNSELING CONNECTION, LLC

Practice address

4900 SW Griffith Dr Ste 249
Beaverton, OR 97005-4648

Phone

(503) 609-0024

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Krahulec

Title

President

Phone

(503) 609-0024

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1508574682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20843 SW SKIVER ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970785477",
            "telephone_number": "503-609-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 249",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054648",
            "telephone_number": "503-609-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "KRAHULEC",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-609-0024"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Daniel Crawford, ATC, CSCS
• Stephanie K. Crawford, M.S. CCC-SLP
• Samual S Craytor, MA
• Emerson Leigh Creager
• Create Heath NW
• Creative Presence Counseling LLC
• Sami Cregger
• Jonathan Creme
• Rachel Crews, M.S., CCC-SLP
• Jennifer Criss, LMT

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.