Organization Active NPI

Creative Therapies, PLLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1699310433
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE THERAPIES, PLLC
Practice address
6103 Kayton St
Raleigh, NC 27616-4329
Phone
(919) 880-4078
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Mrs. Casey Baine, LCAS, LPCANPI 1881100345
Title
Clinical Director and Therapist
Phone
(919) 880-4078

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6103 Kayton St
Raleigh, NC 27616-4329

Mailing address

6103 Kayton St
Raleigh, NC 27616-4329
Phone (919) 880-4078

Other practice location 1

6330 Falls Of Neuse Rd Ste 104
Raleigh, NC 27615-6810
Phone (919) 880-4078

National Provider Directory

National Provider Directory

Locations

4814 Six Forks Rd
Ste 202
Raleigh, NC 27609
Phone (919) 410-7858

6330 Falls of Neuse Rd
Ste 104
Raleigh, NC 27615
Phone (919) 880-4078

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1699310433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 KAYTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164329",
            "telephone_number": "919-880-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 KAYTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164329",
            "telephone_number": "919-880-4078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 Falls Of Neuse Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156810",
            "country_code": "US",
            "telephone_number": "919-880-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "BAINE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR AND THERAPIST",
        "authorized_official_telephone_number": "919-880-4078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCAS, LPCA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.