CREATIVE COUNSELING SERVICES PLLC (NPI# 1134749401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134749401 |
| Entity Type | Organization |
| Organization Name | CREATIVE COUNSELING SERVICES PLLC |
| Practice Address |
2332 W 12600 S Riverton UT 84065-7161 |
| Practice Telephone | 8018963119 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | ERICA THURSTON (OWNER) |
| Authorized Official Telephone | 8018963119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2332 W 12600 S |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-7161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900067 | Robert Lawrence Mechling | Chiropractor | 2332 W 12600 S, Suite D, Riverton, UT 84065-7161 | 2005-08-25 |
| 1396149274 | Michelle Lee Smith | Nurse Practitioner | 2332 W 12600 S, Suite 2c, Riverton, UT 84065-7161 | 2014-10-21 |
| 1780098319 | Trevor Nichols Labrum | Dentist | 2332 W 12600 S, Riverton, UT 84065-7161 | 2014-06-11 |
| 1760808919 | Cold Front Pharmacy | Pharmacy | 2332 W 12600 S, Ste 2b, Riverton, UT 84065-7161 | 2014-03-12 |
| 1154695286 | Theraputics, Inc | Health Maintenance Organization | 2332 W 12600 S, Suite #d, Riverton, UT 84065-7161 | 2012-03-07 |
| 1851546782 | Kenneth Alan Freeman | Physical Therapist | 2332 W 12600 S, # 2b, Riverton, UT 84065-7161 | 2008-11-19 |
| 1053576504 | Kirt W Larson | Nurse Practitioner | 2332 W 12600 S, Suite 2c, Riverton, UT 84065-7161 | 2008-07-24 |
| 1407021819 | Wayne D Brown | Dentist | 2332 W 12600 S, Ste A, Riverton, UT 84065-7161 | 2008-04-25 |
| 1346429768 | Advanced Health Chiropractic | Chiropractor | 2332 W 12600 S, Suite D, Riverton, UT 84065-7161 | 2007-11-01 |
| 1619196771 | Step Mountain Medical Inc. | Family Medicine | 2332 W 12600 S, Suite 2c, Riverton, UT 84065 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598124489 | Heather Barrows | Community/Behavioral Health | 528 Cherry St, Riverton, WY 82501-8911 | 2016-02-19 |
| 1164838264 | Oquirrh Mountain Counseling & Services LLC | Community/Behavioral Health | 12569 S 2700 W Ste 202, Riverton, UT 84065-7191 | 2014-07-09 |
| 1164989828 | Donna Gambler | Community/Behavioral Health | 11 Minter Ln, Riverton, WY 82501-8959 | 2019-02-28 |
| 1407313182 | Shaniya Smith | Community/Behavioral Health | 11 Minter Ln, Riverton, WY 82501-8959 | 2019-02-28 |
| 1811454598 | Red Dawn Lopez | Community/Behavioral Health | 11 Minter Ln, Riverton, WY 82501-8959 | 2019-02-28 |
| 1891252573 | Betty Porter | Community/Behavioral Health | 11 Minter Ln, Riverton, WY 82501-8959 | 2019-02-28 |
| 1396202073 | Anson King | Community/Behavioral Health | 11 Minter Ln, Riverton, WY 82501-8959 | 2019-02-28 |
| 1457893737 | Wind River Wraparound | Community/Behavioral Health | 528 Cherry St, Riverton, WY 82501-8911 | 2016-11-17 |
| 1912242918 | Affinity Behavior and Mental Health Services, LLC | Community/Behavioral Health | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2012-12-01 |
| 1538486402 | Fremont Counseling | Community/Behavioral Health | 1110 Major Ave, Riverton, WY 82501-2342 | 2010-04-30 |
| Find all providers in RIVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.