NPIMap

Organization Active NPI

Creating Balance LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delafield, WI
National Provider Identifier
1588073860
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3946-125 Issued in WI
Legal business name
CREATING BALANCE LLC
Practice address
385 Williamstowne
Suite 105
Delafield, WI 53018-2323
Phone
(262) 894-3540
Fax
(262) 303-4765
NPI assigned
Aug 12, 2014
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Maureen Pohle, LPCNPI 1982877403
Title
Psychotherapist/Soleproprietor
Phone
(262) 894-3540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3946-125 WI Primary

Addresses

Primary practice location

385 Williamstowne
Suite 105
Delafield, WI 53018-2323

Mailing address

385 Williamstowne
Suite 105
Delafield, WI 53018-2323
Phone (262) 894-3540

Other identifiers 1

IdentifierTypeStateIssuer
43725200MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1588073860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 WILLIAMSTOWNE",
            "address_2": "SUITE 105",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182323",
            "telephone_number": "262-894-3540",
            "fax_number": "262-303-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 WILLIAMSTOWNE",
            "address_2": "SUITE 105",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182323",
            "telephone_number": "262-894-3540",
            "fax_number": "262-303-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "POHLE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/SOLEPROPRIETOR",
        "authorized_official_telephone_number": "262-894-3540",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "3946-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43725200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delafield, WI

Sources for this page

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

Verify at the official NPI Registry.