Creative Mental Health, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CP0006 Issued in NV

Legal business name

CREATIVE MENTAL HEALTH, LLC

Practice address

701 N Green Valley Pkwy
Suite 200
Henderson, NV 89074-6177

Phone

(702) 499-3456

Fax

(702) 946-0830

NPI assigned

Apr 13, 2011

Last updated

Apr 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elen Michele Sprole, LCPCNPI 1003136995

Title

Owner

Phone

(702) 499-3456

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Elen Michele Sprole, LCPC

  • Professional Counselor
  • Henderson, NV
  • NPI 1003136995
  NPD (past) Authorized official

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1932499753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 KINKNOCKIE WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440250",
            "telephone_number": "702-499-3456",
            "fax_number": "702-946-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N GREEN VALLEY PKWY",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746177",
            "telephone_number": "702-499-3456",
            "fax_number": "702-946-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SPROLE",
        "authorized_official_first_name": "ELEN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-499-3456",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "CP0006",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100520257",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.