Creative Therapy for the Heart, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3705 Issued in OR

Legal business name

CREATIVE THERAPY FOR THE HEART, LLC

Practice address

1804 NE 45TH Ave
Portland, OR 97213-1416

Phone

(971) 222-9290

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Erin Berk, LPC, ATR

Title

Licensed Professional Counselor

Phone

(971) 222-9290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1558818237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 NE 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131416",
            "telephone_number": "971-222-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 NE 45TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131416",
            "telephone_number": "971-222-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY FOR THE HEART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "971-222-9290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Matthew Creasy, MD
• Create Change, LLC
• Creative Communications, LLC
• Creative Play and Speech Therapy, Inc
• Creative Therapy Connections, LLC
• Creative Thriving, LLC
• Credena Health LLC
• Credena Health LLC
• Credena Health LLC
• Credena Health LLC

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.