NPIMap

Organization Active NPI

Creative Living Center, P.C.

  • Counselor
  • Rock Valley, IA
National Provider Identifier
1609807098
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
00865 Issued in IA
Legal business name
CREATIVE LIVING CENTER, P.C.
Practice address
1905 10TH St
Rock Valley, IA 51247-1630
Phone
(712) 476-5245
Fax
(712) 476-9621
NPI assigned
Jul 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Dayton J. Vogel, ED.D.NPI 1457433872
Title
Chief Financial Officer
Phone
(712) 476-5245

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00226 IA
Counselor 101Y00000X 00865 IA Primary
Clinical Social Worker 1041C0700X 06099 IA
Marriage & Family Therapist 106H00000X 00002 IA
Marriage & Family Therapist 106H00000X 00041 IA

Addresses

Primary practice location

1905 10TH St
Rock Valley, IA 51247-1630

Mailing address

1905 10TH St
Rock Valley, IA 51247-1630
Phone (712) 476-5245

Other identifiers 2

IdentifierTypeStateIssuer
0451252MedicaidIA
37804OtherIAGROUP BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000156 IA Part B Supplier - Clinic/Group Practice 8527055714 Receives reassigned benefits from 7 practitioners
Practice locations: Rock Valley, IA

National Provider Directory

National Provider Directory

Locations

926 Avenue F
Hawarden, IA 51023
Phone (712) 476-5245

123 Albany Ave SE
Orange City, IA 51041
Phone (712) 476-5245

315 1st Ave
Ste 206
Rock Rapids, IA 51246
Phone (712) 476-5245

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609807098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 10TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471630",
            "telephone_number": "712-476-5245",
            "fax_number": "712-476-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 10TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471630",
            "telephone_number": "712-476-5245",
            "fax_number": "712-476-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIVING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "DAYTON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "712-476-5245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "00226",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "00865",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06099",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "00002",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "00041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451252",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE CROSS",
            "identifier": "37804",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Valley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.