Organization Active NPI

Creative Growth Counseling PLLC

  • Mental Health Counselor
  • Sioux City, IA
National Provider Identifier
1649137134
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE GROWTH COUNSELING PLLC
Practice address
505 5TH St Ste 620
Sioux City, IA 51101-1505
Phone
(712) 539-7843
NPI assigned
Jan 6, 2026
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Jen Wollum
Title
Billing
Phone
(712) 363-0917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

505 5TH St Ste 620
Sioux City, IA 51101-1505

Mailing address

505 5TH St Ste 620
Sioux City, IA 51101-1505
Phone (712) 539-7843

National Provider Directory

National Provider Directory

Locations

505 5th St
Ste 620
Sioux City, IA 51101
Phone (712) 539-7843

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": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1649137134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 620",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011505",
            "telephone_number": "712-539-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 620",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011505",
            "telephone_number": "712-539-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE GROWTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "WOLLUM",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "712-363-0917"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.