Organization Active NPI

Creative Outlooks LLC

  • Professional Counselor
  • Southbury, CT
National Provider Identifier
1124526579
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2104 Issued in CT
Legal business name
CREATIVE OUTLOOKS LLC
Practice address
800 Main St S Ste 210
Southbury, CT 06488-4210
Phone
(203) 887-7064
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Jennifer A Didonato, LPCNPI 1922497064
Title
Owner
Phone
(203) 887-7064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2104 CT Primary

Addresses

Primary practice location

800 Main St S Ste 210
Southbury, CT 06488-4210

Mailing address

3000 Whitney Ave # 256
Hamden, CT 06518-2353
Phone (203) 887-7064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260430000024 CT Part B Supplier - Clinic/Group Practice 2163999806 Receives reassigned benefits from 1 practitioner
Practice locations: Southbury, CT

National Provider Directory

National Provider Directory

Locations

3000 Whitney Ave
#256
Hamden, CT 06518

3000 Whitney Ave
Ste 256
Hamden, CT 06518

800 Main St S
Ste 210
Southbury, CT 06488
Phone 2032709888103

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1124526579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WHITNEY AVE # 256",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182353",
            "telephone_number": "203-887-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST S STE 210",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884210",
            "telephone_number": "203-887-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OUTLOOKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "DIDONATO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-887-7064",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.