Creative Avenues Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATIVE AVENUES COUNSELING PLLC

Practice address

2027 196TH St SW Ste A205
Lynnwood, WA 98036-7073

Phone

(425) 202-6005

Fax

(425) 367-0531

NPI assigned

Nov 30, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie Erickson Carl, LMHCNPI 1487104253

Title

Owner

Phone

(425) 202-6005

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Erickson Carl, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1487104253
  NPD Authorized official

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1659081669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 196TH ST SW STE A205",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367073",
            "telephone_number": "425-202-6005",
            "fax_number": "425-367-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 196TH ST SW STE A205",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367073",
            "telephone_number": "425-202-6005",
            "fax_number": "425-367-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE AVENUES COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "CARL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ERICKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-202-6005",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211204",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Availity",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2027 196th St SW Ste A205",
            "city": "Lynnwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980367073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Russell Cox, M.D., PH.D.
• Kerry Lynn Coyne, ARNP/CRNP
• Erin Ann Paul Crafton, M.S. CCC-SLP
• Lauren Craig
• Kamryn Creameans
• Steven A Creelman, MD
• William B. Crenshaw, MD
• Joseph T Cresanti, D.C.
• Carole Hueftle Crew, M.A., LMFT
• Deborah Crocker

• Mental Health Counselor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.