Creative Pathways LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34003596A Issued in IN

Legal business name

CREATIVE PATHWAYS LLC

Practice address

639 Eastern Blvd
Suite F
Clarksville, IN 47129-2460

Phone

(502) 552-3107

NPI assigned

Mar 20, 2009

Last updated

Mar 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jennifer E Fisher, LCSW, MSSW

Title

Owner

Phone

(502) 552-3107

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1205077294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HOPKINS LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305034",
            "telephone_number": "502-552-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 EASTERN BLVD",
            "address_2": "SUITE F",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292460",
            "telephone_number": "502-552-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-552-3107",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW, MSSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34003596A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI (TYPE  I)",
            "identifier": "1639175771",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eduardo Cora, OD
• Kristyn Michelle Costin
• Lyn Cotto Rodriguez
• Leah Cox
• Kiara Craven
• Karen Lynette Culler, PT
• Patricia Louise Culwell, LCSW
• Candice Curd
• Matthew D'Andria
• Peyton Daab, APRN

• Community/Behavioral Health Agency in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.