Creative Connections Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CREATIVE CONNECTIONS COUNSELING LLC

Practice address

11990 Portland Ave
Burnsville, MN 55337-1516

Phone

(651) 300-9654

NPI assigned

Nov 17, 2022

Organization subpart

Yes

Parent organization

CREATIVE CONNECTIONS COUNSELING LLCAs reported in NPPES

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

Authorized official

Name

Breanna Reed, MA, LPCC, ATRNPI 1659016541

Title

Owner

Phone

(651) 300-9654

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Part of

Creative Connections Counseling LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Breanna Reed

  • Professional Counselor
  • Burnsville, MN
  • NPI 1659016541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1982313029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 PORTLAND AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371516",
            "telephone_number": "651-300-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 PORTLAND AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371516",
            "telephone_number": "651-300-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONNECTIONS COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATIVE CONNECTIONS COUNSELING LLC",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-300-9654",
        "authorized_official_credential": "MA, LPCC, ATR"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://creativeconnectionscounselingllc.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Portal",
            "address_1": "11990 Portland Ave",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553371516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cesar Alberto Coyote Aragon
• Craig V. Duren, D.D.S. , P.a.
• Kerry Ann Crain, LADC
• Emily Ann Cramer, OTR/L
• Lori Marie Creagan, NP-C
• Diana G. Crintea-Stoian, M.D.
• Alicia Crisp, RD
• Jazmin Crittenden
• Melissa Marie Crockett, LPN
• Dennis Cross, MD

• Counselor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.