Creative Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREATIVE COUNSELING

Practice address

10304 Bust Subdivision Rd
Potosi, MO 63664-8361

Phone

(573) 631-2007

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By 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

Lisa SandersonNPI 1689837791

Title

Ceo

Phone

(573) 631-2007

Specialties & licenses 1

Addresses

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.

• Lisa Anne Sanderson, LCSW

  • Clinical Social Worker
  • Potosi, MO
  • NPI 1689837791
  NPD (past) Authorized official

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1760288187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 BUST SUBDIVISION RD",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636648361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 BUST SUBDIVISION RD",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636648361",
            "telephone_number": "573-631-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-631-2007"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesed Counseling and Coaching Center, LLC
• Choose Change Convince Counseling
• Colin Cicchetti
• Citadel Association, Inc.
• Mary E Cooley, LPC
• Deaconess Long Term Care of Missouri, Inc. (Georgian Gardens Nursing Center)
• Carol Deal
• Angela S Declue, FNP
• Daeton Degrant, LPC
• Walter R Dellenbaugh, RPH

• Clinical Social Worker in Potosi, MO
• Providers in Potosi, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.