CREATIVE MIND HEALTH LLC NPI 1336013986

NPI Information

  • NPI: 1336013986
  • Provider Name: CREATIVE MIND HEALTH, LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 7280 NW 87TH TER STE C210
    KANSAS CITY, MO
    ZIP 64153
  • Phone: (913) 395-3300

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NPI Details

CREATIVE MIND HEALTH, LLC is an addiction (substance use disorder) counselor in Kansas City, MO. CREATIVE MIND HEALTH, LLC NPI is 1336013986. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7280 NW 87TH TER STE C210
KANSAS CITY, MO
ZIP 64153-720
Phone: (913) 395-3300

The provider's authorized official is Jessica L Waters .
The authorized official title is Clinical Supervisor and has the following contact phone number (531) 242-8821.

The enumeration date for this NPI number is 10/6/2025 and was last updated on 10/6/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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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