CREATIVE COUNSELING AND STUDIO LLC NPI 1205477585

NPI Information

NPI: 1205477585
Provider Name: CREATIVE COUNSELING AND STUDIO, LLC
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
Address: 1941 S 42ND ST STE 542
OMAHA, NE
ZIP 68105
Phone: (402) 401-4445

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NPI Details

CREATIVE COUNSELING AND STUDIO, LLC is a mental health counselor in Omaha, NE. CREATIVE COUNSELING AND STUDIO, LLC NPI is 1205477585. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1941 S 42ND ST STE 542
OMAHA, NE
ZIP 68105-945
Phone: (402) 401-4445
Fax: (402) 702-0583

The provider's authorized official is Yasmin S Tucker .
The authorized official title is Provider/owner and has the following contact phone number (402) 401-4445.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043685639	MEDICAID	NEBRASKA
2	100267994-01	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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