NPIMap

Organization Active NPI

Creating Success Therapy PLLC

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1801551338
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATING SUCCESS THERAPY PLLC
Practice address
15 Oregon Ave Ste 111
Tacoma, WA 98409-7461
Phone
(253) 861-5165
NPI assigned
Oct 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Authorized official

Name
Kimberly A Reardon, LMHCNPI 1154650307
Title
Therapist/Owner
Phone
(253) 861-5165

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15 Oregon Ave Ste 111
Tacoma, WA 98409-7461

Mailing address

15 Oregon Ave Ste 111
Tacoma, WA 98409-7461
Phone (253) 861-5165

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1635638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1801551338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OREGON AVE STE 111",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097461",
            "telephone_number": "253-861-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OREGON AVE STE 111",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097461",
            "telephone_number": "253-861-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING SUCCESS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-31",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "253-861-5165",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.