OrganizationActive
Creative Counseling Connection, LLC
NPI 1508574682 · Mental Health Counselor · Beaverton, OR
Provider details
- NPI number
- 1508574682
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Krahulec, President(503) 609-0024
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4900 Sw Griffith Dr Ste 249
Beaverton, OR 97005-4648
Phone: (503) 609-0024
Street-level locationGet directions
Mailing address
20843 Sw Skiver St
Beaverton, OR 97078-5477
Registry dates
- Enumerated
- 2022-11-08
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.