Active NPI
Creative Counseling Associates, LLC
- Mental Health Counselor
- Bartlett, IL
National Provider Identifier
1285836437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180005808
- Legal business name
- CREATIVE COUNSELING ASSOCIATES, LLC
- Practice address
- 848 W Bartlett Rd
Suite 12E
Bartlett, IL 60103-4493 - Phone
- (630) 837-5303
- Fax
- (630) 837-5305
- NPI assigned
- Jun 1, 2007
- Last updated
- Dec 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Corinna Marie Costello, LCPC, ATR-BC
- Title
- Director, Counselor
- Phone
- (630) 837-5303
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 96178 | IL | |
| Mental Health Counselor | 101YM0800X | 180005808 | IL | Primary |
| Professional Counselor | 101YP2500X | 180005808 | IL |
Addresses
Primary practice location
848 W Bartlett Rd
Suite 12E
Bartlett, IL 60103-4493
Mailing address
848 W Bartlett Rd
Suite 12E
Bartlett, IL 60103-4493
Phone (630) 837-5303
National Provider Directory
National Provider DirectoryLocations
848 W Bartlett Rd
Ste 12E
Bartlett, IL 60103
Phone (630) 837-5303
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1164431136
-
- Mental Health Counselor
- Bartlett, IL
- NPI 1518221159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324252800000",
"number": "1285836437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 W BARTLETT RD",
"address_2": "SUITE 12E",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034493",
"telephone_number": "630-837-5303",
"fax_number": "630-837-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 W BARTLETT RD",
"address_2": "SUITE 12E",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034493",
"telephone_number": "630-837-5303",
"fax_number": "630-837-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE COUNSELING ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2011-12-19",
"status": "A",
"authorized_official_last_name": "COSTELLO",
"authorized_official_first_name": "CORINNA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR, COUNSELOR",
"authorized_official_telephone_number": "630-837-5303",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCPC, ATR-BC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "96178",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180005808",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180005808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.