Active NPI
Creative Counseling Center, LLC
- Addiction (Substance Use Disorder) Counselor
- Cheshire, CT
National Provider Identifier
1386876738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000063
- Legal business name
- CREATIVE COUNSELING CENTER, LLC
- Practice address
- 408 Highland Ave Ste a
Cheshire, CT 06410-2525 - Phone
- (203) 215-6125
- Fax
- (203) 288-7485
- NPI assigned
- Aug 19, 2009
- 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
- Mr. Frank J Chovitz, MS, LADC
- Title
- Owner
- Phone
- (203) 215-6125
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000063 | CT | Primary |
Addresses
Primary practice location
408 Highland Ave Ste a
Cheshire, CT 06410-2525
Mailing address
408 Highland Ave Ste a
Cheshire, CT 06410-2525
Phone (203) 215-6125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004240008 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
408 Highland Ave
Ste A
Cheshire, CT 06410
Phone (203) 215-6125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Cheshire, CT
- NPI 1275758369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250640000000",
"number": "1386876738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HIGHLAND AVE STE A",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102525",
"telephone_number": "203-215-6125",
"fax_number": "203-288-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 HIGHLAND AVE STE A",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102525",
"telephone_number": "203-215-6125",
"fax_number": "203-288-7485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-19",
"last_updated": "2009-08-19",
"status": "A",
"authorized_official_last_name": "CHOVITZ",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-215-6125",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, LADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004240008",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.