Creative Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATIVE COUNSELING SERVICES, LLC

Practice address

4090 Eastlake Blvd
Washoe Valley, NV 89704-9103

Phone

(775) 433-1986

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Shana Stirton, CPC

Title

Owner

Phone

(775) 526-0280

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Creative Counseling Services, LLC Other name

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1972269074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 EASTLAKE BLVD",
            "city": "WASHOE VALLEY",
            "state": "NV",
            "postal_code": "897049103",
            "telephone_number": "775-433-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 EASTLAKE BLVD",
            "city": "WASHOE VALLEY",
            "state": "NV",
            "postal_code": "897049103",
            "telephone_number": "775-433-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "STIRTON",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-526-0280",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871867739",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarina Anderson
• Brianna Wunderlin Jonak
• Patricia A Cummings
• Torrie Cummings
• Jill Ann Dickinson, P.T.
• Nichole R Dickman
• Cadie N Enemark

• Mental Health Counselor in Washoe Valley, NV
• Providers in Washoe Valley, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.