Creating Change Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREATING CHANGE COUNSELING CENTER LLC

Practice address

400 5TH St Ste 197
Peru, IL 61354-2876

Phone

(815) 617-9420

NPI assigned

Apr 1, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Kohut, LCSWNPI 1689908972

Title

Owner

Phone

(815) 617-9420

Specialties & licenses 1

Addresses

Locations

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.

• Christine Kohut, LCSW

  • Clinical Social Worker
  • Peru, IL
  • NPI 1689908972
  NPD Authorized official
• Estephanie Castaneda-Arteaga, PRE-LICENSED

  • Mental Health Counselor
  • Naperville, IL
  • NPI 1639767395
  NPD (past)

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1407597743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 5TH ST STE 197",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542876",
            "telephone_number": "815-617-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 5TH ST STE 197",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542876",
            "telephone_number": "815-617-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 E 1888th Rd",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613509698",
            "country_code": "US",
            "telephone_number": "815-617-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATING CHANGE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "KOHUT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-617-9420",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Marie Cook, P.T.
• Amy Gail Corsolini
• James Miguel Covington, DDS
• Cpo Services, Inc (Comprehensive Prosthetics and Orthotics)
• Cpo Services, Inc (Comprehensive Prosthetics and Orthotics)
• Steven Tyler Cullen, M.D.
• Thomas M Curry, MD
• John M Curtin, DO
• David J Coynik, MD,PC
• Dina Lunken DDS, PC

• Clinical Social Worker in Peru, IL
• Providers in Peru, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.