Organization Active NPI

Creative Presence Counseling LLC

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1639986904
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE PRESENCE COUNSELING LLC
Practice address
1100 SW 170TH Ave Unit 201
Beaverton, OR 97003-8093
Phone
(503) 686-9903
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Nicholas D Carter, LPCNPI 1225637986
Title
Mental Health Therapist
Phone
(503) 686-9903

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1100 SW 170TH Ave Unit 201
Beaverton, OR 97003-8093

Mailing address

1100 SW 170TH Ave Unit 201
Beaverton, OR 97003-8093
Phone (503) 686-9903

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": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1639986904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SW 170TH AVE UNIT 201",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970038093",
            "telephone_number": "503-686-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SW 170TH AVE UNIT 201",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970038093",
            "telephone_number": "503-686-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PRESENCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "503-686-9903",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.