Creative Community Options Inc

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

CREATIVE COMMUNITY OPTIONS INC

Doing business as

Candeo

Practice address

9550 White Oak LN
Johnston, IA 50131-2294

Phone

(515) 259-8110

Fax

(515) 259-8109

NPI assigned

Mar 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marcy M Davis, MBA

Title

Ceo

Phone

(515) 259-8120

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Candeo Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Crandall, LMSW

  • Clinical Social Worker
  • Johnston, IA
  • NPI 1215584289
  NPD
• Brittney Claire Lieb, LMSW

  • Social Worker
  • Johnston, IA
  • NPI 1780304279
  NPD
• Kristin Moore, LMSW

  • Clinical Social Worker
  • Johnston, IA
  • NPI 1629674064
  NPD
• Phuong Nguyen Chastain, MS, LMHC

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1790185973
  NPD (past)
• Darci Kobolt

  • Social Worker
  • Johnston, IA
  • NPI 1841771391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1023149267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 WHITE OAK LN",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312294",
            "telephone_number": "515-259-8110",
            "fax_number": "515-259-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WHITE OAK LN",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312294",
            "telephone_number": "515-259-8110",
            "fax_number": "515-259-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COMMUNITY OPTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-259-8120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110718",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1283499",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283499",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candeo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Counseling Insights, LLC
• Courage Counseling Center, PLLC
• Elizabeth Ashley Coyle
• Emilie Cramond, PT, DPT
• Stephanie Crandall, LMSW
• Natalie Cremer
• Jordan Elizabeth Cronbaugh-Jones, LMHC
• Rebecca Cummings, MA, CCC-SLP
• Stefanie Cunard, PT
• Lindsey Cunningham, BCBA

• Day Training/Habilitation Specialist in Johnston, IA
• Providers in Johnston, IA by specialty
• Day Training/Habilitation Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.