Creating Change Counseling and Education, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATING CHANGE COUNSELING AND EDUCATION, LLC

Practice address

139 Regency Blvd
Pueblo, CO 81005-2127

Phone

(719) 470-1715

NPI assigned

Apr 5, 2023

Last updated

Apr 24, 2023By 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

Angela Sillas-Green, LPCNPI 1124510821

Title

Owner/Licensed Professional Counsel

Phone

(719) 580-3079

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela M Sillas-Green

  • Mental Health Counselor
  • Pueblo, CO
  • NPI 1124510821
  NPD Authorized official

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1245925411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N. MARKET PLZ, STE.107, #531",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "81007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 REGENCY BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052127",
            "telephone_number": "719-470-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CHANGE COUNSELING AND EDUCATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "SILLAS-GREEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "719-580-3079",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa T Cramer, M.D.
• Maria Ann Cramer, LCSW
• Kimberly A Crapeau, RN
• James W Crawford, M.D.
• Oliver Gahlen Crawford Jr., PHD, LMT, MMP, CNMT
• Bambi Creek
• Clay Creppel
• Melissa Rae Crespin
• Delicia Crews, RBT
• Michael Crise

• Mental Health Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.