OrganizationActive
Creative Roots Counseling, LLC
NPI 1750085056 · Mental Health Clinic/Center (Including Community Mental Health Center) · Youngsville, NM
Provider details
- NPI number
- 1750085056
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sarah Grenzeback, Owner(617) 834-8204
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(58/100 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
24 Polvadera Pl
Youngsville, NM 87064-0199
Phone: (617) 834-8204
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 817
Abiquiu, NM 87510-0817
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.