Active NPI
Kristin Creel
- Professional Counselor
- Las Vegas, NV
National Provider Identifier
1982132403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3050 E Desert Inn Rd Ste 116
Las Vegas, NV 89121-3872 - Phone
- (702) 796-0660
- NPI assigned
- May 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3050 E Desert Inn Rd Ste 116
Las Vegas, NV 89121-3872
Mailing address
PO Box 897
Boise, ID 83701-0897
Phone (208) 367-9021
Other practice location 1
3470 W Cheyenne Ave Ste 400
North Las Vegas, NV 89032-8244
Phone (702) 636-0085
Other practice location 2
2290 McDaniel St Ste 1C
North Las Vegas, NV 89030-6329
Phone (702) 399-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125-LCS | Other | NV | SUPERVISOR OF LICENSE CLINICAL ALCOHOL & DRUG COUNSELORS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1982132403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "BOISE",
"state": "ID",
"postal_code": "837010897",
"telephone_number": "208-367-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 E DESERT INN RD STE 116",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213872",
"telephone_number": "702-796-0660"
}
],
"practiceLocations": [
{
"address_1": "3470 W Cheyenne Ave Ste 400",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890328244",
"country_code": "US",
"telephone_number": "702-636-0085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2290 McDaniel St Ste 1C",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890306329",
"country_code": "US",
"telephone_number": "702-399-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREEL",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERVISOR OF LICENSE CLINICAL ALCOHOL & DRUG COUNSELORS",
"identifier": "00125-LCS",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.