Organization Active NPI

Creatality, LLC

  • Community/Behavioral Health Agency
  • Evergreen, CO
National Provider Identifier
1891484523
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Nicole Nepote, LPC, ATRNPI 1952907750
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.