Creative Roots Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008745 Issued in IL

Legal business name

CREATIVE ROOTS COUNSELING, LLC

Practice address

4305 N Lincoln Ave Ste K
Chicago, IL 60618-1807

Phone

(773) 466-4527

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Kristina Vogt, LCPC, ATRNPI 1508207937

Title

Psychotherapist

Phone

(773) 466-4527

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristina Vogt, ATR, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1508207937
  NPD Authorized official

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316460728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE STE K",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "773-466-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE STE K",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "773-466-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 S Michigan Ave Ste 422",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606051303",
            "country_code": "US",
            "telephone_number": "773-466-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 S Michigan Ave Ste 620",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606051401",
            "country_code": "US",
            "telephone_number": "773-466-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE ROOTS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-466-4527",
        "authorized_official_credential": "LCPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Healing PLLC
• Creative Health Counseling, LLC
• Creative Healthcare Professionals, Inc.
• Creative Life Counseling Services
• Creative Passages PLLC
• Kristy Crededio
• Creden Psychotherapy and Consulting, PLLC
• Emma Creech
• Caroline Creed
• Priya Vijay Creed, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.