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KIMBERLY KAY CREASEY LPCC
NPI 1801597323
Counselor - Professional in Maplewood, MN

Active since March 13, 2023PECOS Enrolled
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109(651) 661-6550(651) 661-6551 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Mar 13, 2023 (2 updates tracked since 2023).

About Kimberly Kay Creasey Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY KAY CREASEY LPCC (NPI 1801597323) is an individual professional provider in Maplewood, Minnesota, licensed in Minnesota (5534) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1801597323
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY KAY CREASEYCredential: LPCC
Location Address1856 BEAM AVE STE 200Maplewood, MN 55109-1162
Mailing Address1856 Beam Ave Ste 200Maplewood, MN 55109-1162 · (651) 661-6550
Phone(651) 661-6550
Fax(651) 661-6551
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 13, 2023
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1801597323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 5534
1856 BEAM AVE STE 200, Maplewood, MN 55109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Kay Creasey Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517435399
PECOS Enrollment IDI20260511001104
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA R BALTZ LMFT
Marriage & Family Therapist
1856 BEAM AVE STE 200
MAPLEWOOD, MN 55109
Ramsey County (651) 661-6550
JANESSA NICOLE ROMAIN
Student in an Organized Health Care Education/Training Program
1856 BEAM AVE STE 200
MAPLEWOOD, MN 55109
Ramsey County (651) 661-6550
KAREN EDQUIST M.ED.
Counselor (Mental Health)
1856 BEAM AVE STE 200
MAPLEWOOD, MN 55109
Ramsey County (612) 293-9442
CATHERINE ANN JAKSHA LADC, LPCC
Counselor (Mental Health)
1856 BEAM AVE STE 200
MAPLEWOOD, MN 55109
Ramsey County (612) 269-6784
KRISTEN MARIE CHUBA PA-C
Physician Assistant
1856 BEAM AVE STE 200
MAPLEWOOD, MN 55109
Ramsey County (651) 661-6550
MR. MATTHEW JOSEPH HOLKUP LADC, LICSW
Social Worker (Clinical)
1856 BEAM AVE STE 200
MAPLEWOOD, MN 55109
Ramsey County (651) 661-6550
MAXWELL ZELL PA
Physician Assistant
1856 BEAM AVE STE 200
MAPLEWOOD, MN 55109
Ramsey County (651) 661-6550
TIMBER LEE KELLER
Student in an Organized Health Care Education/Training Program
1856 BEAM AVE STE 200
MAPLEWOOD, MN 55109
Ramsey County (715) 338-1103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Creasey's NPI number?

The NPI number for Kimberly Creasey is 1801597323. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Kimberly Creasey located?

Kimberly Creasey practices at 1856 Beam Ave Ste 200, Maplewood, MN 55109. The listed phone number is (651) 661-6550.

What is Kimberly Creasey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kimberly Creasey enrolled in Medicare?

Yes. Kimberly Creasey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Creasey was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.