John Creet
Counselor, Mental Health in South Pasadena, CA. Individual provider (NPI-1).
NPI number1962880682
StatusActive
Last updated in NPPESJun 16, 2016
Details
- NPI
- 1962880682
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Creet
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2015
- Last updated
- Jun 16, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | IMF 92165 | CA | Yes |
Practice location
205 Pasadena AveSouth Pasadena, CA 91030-2919
Phone 323-344-5536
Mailing address
205 Pasadena AveSouth Pasadena, CA 91030-2919
Phone 323-344-5536
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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