Active NPI
Christine Marie Creighton, MS, LPC, ATR
- Professional Counselor
- Northbrook, IL
National Provider Identifier
1316239429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178009096
- Practice address
- 3504 Commercial Ave
Northbrook, IL 60062-1821 - Phone
- (847) 272-5111
- NPI assigned
- May 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178009096 | IL | Primary |
| Counselor | 101Y00000X | 2413 - 226 | WI | |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
3504 Commercial Ave
Northbrook, IL 60062-1821
Mailing address
10062 Holly LN Apt 2N
Des Plaines, IL 60016-1462
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2413 - 226 | Other | WI | MARRIAGE AND FAMILY THERAPY, PROFESSIONAL COUNSELING, AND SOCIAL WORK BOARD |
| 178009096 | Other | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION, LPC |
Other names 1
- Ms. Christine Marie Hendron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2413 - 226 | WI | MD | Counselor |
| 178009096 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1316239429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10062 HOLLY LN APT 2N",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 COMMERCIAL AVE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621821",
"telephone_number": "847-272-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREIGHTON",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "MS, LPC, ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-07",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178009096",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "2413 - 226",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE AND FAMILY THERAPY, PROFESSIONAL COUNSELING, AND SOCIAL WORK BOARD",
"identifier": "2413 - 226",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION, LPC",
"identifier": "178009096",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "HENDRON",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.