Organization Active NPI

Creative Counseling & Consulting Inc.

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1841332863
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0893 Issued in NM
Legal business name
CREATIVE COUNSELING & CONSULTING INC.
Practice address
11000 Spain Rd NE
BLDG E
Albuquerque, NM 87111-1883
Phone
(505) 323-9004
Fax
(505) 323-9004
NPI assigned
Feb 13, 2007
Last updated
Aug 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Ms. Elaine Soto, PH.D.NPI 1689788754
Title
President
Phone
(505) 323-9004

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
Clinical Psychologist 103TC0700X 0893 NM Primary

Addresses

Primary practice location

11000 Spain Rd NE
BLDG E
Albuquerque, NM 87111-1883

Mailing address

PO Box 14926
Albuquerque, NM 87191-4926
Phone (505) 323-9004

Other identifiers 1

IdentifierTypeStateIssuer
08387559MedicaidNM

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1841332863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14926",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871914926",
            "telephone_number": "505-323-9004",
            "fax_number": "505-323-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 SPAIN RD NE",
            "address_2": "BLDG E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111883",
            "telephone_number": "505-323-9004",
            "fax_number": "505-323-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING & CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-323-9004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "0893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08387559",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.