Organization Active NPI

Creative Counseling Center, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Cheshire, CT
National Provider Identifier
1386876738
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000063 Issued in CT
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

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Mr. Frank J Chovitz, MS, LADCNPI 1275758369
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
004240008MedicaidCT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.