Active NPI
Creo Therapy Studio LLC
- Art Therapist
- Questa, NM
National Provider Identifier
1821806720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Legal business name
- CREO THERAPY STUDIO LLC
- Practice address
- 5 Juniper Road
Questa, NM 87556-0000 - Phone
- (650) 380-9547
- NPI assigned
- Dec 23, 2024
- Last updated
- Jun 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arielle Rothenberg, LMHC, LPAT
- Title
- Owner
- Phone
- (650) 380-9547
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | NU | Primary |
Addresses
Primary practice location
5 Juniper Road
Questa, NM 87556-0000
Mailing address
5 Juniper Road
Questa, NM 87556-0000
Phone (650) 380-9547
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0017326 | Medicaid | NM | |
| CTB-2024-0333 | Other | NM | CTB-2024-0333 |
National Provider Directory
National Provider Directory- Tax ID family
- Creo Therapy Studio LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Art Therapist
- Santa Fe, NM
- NPI 1104635192
Practitioners & affiliated clinicians
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.
-
- Art Therapist
- Questa, NM
- NPI 1891456729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749945600000",
"number": "1821806720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 JUNIPER ROAD",
"city": "QUESTA",
"state": "NM",
"postal_code": "875560000",
"telephone_number": "650-380-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 JUNIPER ROAD",
"city": "QUESTA",
"state": "NM",
"postal_code": "875560000",
"telephone_number": "650-380-9547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREO THERAPY STUDIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-23",
"last_updated": "2025-06-15",
"certification_date": "2025-06-15",
"status": "A",
"authorized_official_last_name": "ROTHENBERG",
"authorized_official_first_name": "ARIELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-380-9547",
"authorized_official_credential": "LMHC, LPAT"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N0017326",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CTB-2024-0333",
"identifier": "CTB-2024-0333",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Questa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.