Creative Life Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6985612-3501 Issued in UT

Legal business name

CREATIVE LIFE COUNSELING

Practice address

925 E 900 S
Suite # 42
Salt Lake City, UT 84105-1401

Phone

(801) 657-0897

NPI assigned

Oct 26, 2011

Last updated

Oct 26, 2011By 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

Ashley Sutherland, LCSWNPI 1831416130

Title

Therapist

Phone

(502) 741-6065

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Ashley Brooke Sutherland, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1831416130
  NPD (past) Authorized official
• Jessica Holzbauer, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1851663843
  NPD (past)

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1699051219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E 900 S",
            "address_2": "#42",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051401",
            "telephone_number": "801-657-0897",
            "fax_number": "801-363-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E 900 S",
            "address_2": "SUITE # 42",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051401",
            "telephone_number": "801-657-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "502-741-6065",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6985612-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dell Craynor, R. PH.
• Cristina Ann Creal
• Haley Creapo
• Maria Creasey-Baldwin, CSW
• Creating Change
• Creators Legacy LLC
• Creators Legacy of Midvale LLC
• Colin Kelly Crebs, NUCLEAR PHARMACIST
• Jennifer Brooke Crebs
• Ramona Crebs, RPH

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.