Active NPI
Creatality, LLC
- Community/Behavioral Health Agency
- Evergreen, CO
National Provider Identifier
1891484523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CREATALITY, LLC
- Practice address
- 1153 Bergen Pkwy
Evergreen, CO 80439-9501 - Phone
- (743) 253-8224
- NPI assigned
- May 8, 2023
- 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
- Nicole Nepote, LPC, ATR
- Title
- Counselor & Art Therapist/Owner
- Phone
- (708) 625-4916
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1153 Bergen Pkwy
Evergreen, CO 80439-9501
Mailing address
1153 Bergen Pkwy Ste I, PMB 127
Evergreen, CO 80439
Phone (743) 235-8224
Other practice location 1
701 Granite St Unit 270
Frisco, CO 80443-5838
Phone (743) 235-8224
National Provider Directory
National Provider DirectoryLocations
1153 Bergen Pkwy
Evergreen, CO 80439
Phone (743) 253-8224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Evergreen, CO
- NPI 1952907750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721174400000",
"number": "1891484523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 BERGEN PKWY STE I, PMB 127",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "80439",
"telephone_number": "743-235-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 BERGEN PKWY",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804399501",
"telephone_number": "743-253-8224"
}
],
"practiceLocations": [
{
"address_1": "701 Granite St Unit 270",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "CO",
"postal_code": "804435838",
"country_code": "US",
"telephone_number": "743-235-8224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CREATALITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-08",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A",
"authorized_official_last_name": "NEPOTE",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "COUNSELOR & ART THERAPIST/OWNER",
"authorized_official_telephone_number": "708-625-4916",
"authorized_official_credential": "LPC, ATR"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.