Center for Creative Change

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001502 Issued in MO

Legal business name

CENTER FOR CREATIVE CHANGE

Practice address

506 North St
Farmington, MO 63640-3213

Phone

(573) 756-3330

Fax

(573) 747-3023

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Lynn S James, LPCNPI 1336226737

Title

Counselor/Owner

Phone

(573) 756-3330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn S James, MA. LPC

  • Counselor
  • Farmington, MO
  • NPI 1336226737
  NPD (past) Authorized official

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1619201746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400506",
            "telephone_number": "573-756-3330",
            "fax_number": "573-747-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 NORTH ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403213",
            "telephone_number": "573-756-3330",
            "fax_number": "573-747-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CREATIVE CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "573-756-3330",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "001502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493642904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tasha Marie Carter, LPN
• Hallie Casteel
• Gerard A Catapang, PT,DPT
• Taylor L Cathey
• Amber Lynn Cawvey
• Chenna Venkata Naga Sai Sat Chakka, BDS, DDS
• Bishan Chakravarty, M.D.
• Nilima Prasad Chand, MD
• Sunil Gupta Chand, MD
• Paige Charboneau, MD

• Mental Health Counselor in Farmington, MO
• Providers in Farmington, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.