Spring Creek Emdr LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SPRING CREEK EMDR LLC

Practice address

2444 Ridge Top Drive
Unit 1
Fort Collins, CO 80526

Phone

(970) 759-7095

Fax

(970) 360-3543

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Laura McKeon, LCSW, LACNPI 1285185785

Title

Owner and Clinical Therapist

Phone

(970) 759-7095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Laura McKeon

  • Clinical Social Worker
  • Fort Collins, CO
  • NPI 1285185785
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1861239899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST",
            "address_2": "STE 1K PMB 1093",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-759-7095",
            "fax_number": "970-360-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 RIDGE TOP DRIVE",
            "address_2": "UNIT 1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-759-7095",
            "fax_number": "970-360-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK EMDR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "MCKEON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER AND CLINICAL THERAPIST",
        "authorized_official_telephone_number": "970-759-7095",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lee Sposato, PSY.D.
• Robert L Sprague
• McKenzie Shea Spresser, PA-C
• Spring Creek Behavioral Health LLC
• Spring Creek Dental PLLC
• Spring Creek Eye Care, PLLC
• Spring Creek Medical Park Outpatient Surgery Center LLC
• Spring Creek Oral & Maxillofacial Surgery P.C.
• Hannah Spring
• Springfield Chiropractic LLC

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.