Organization Active NPI

Creative Learning Expressions LLC

  • Behavior Technician
  • Mansfield, OH
National Provider Identifier
1639808819
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
CREATIVE LEARNING EXPRESSIONS LLC
Doing business as
Creative Learning Expressions
Practice address
40 W 4TH St
Mansfield, OH 44902-1206
Phone
(419) 413-5839
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Jennifer Juanita Lewis, LPN
Title
Billing
Phone
(419) 413-5839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

40 W 4TH St
Mansfield, OH 44902-1206

Mailing address

40 W 4TH St
Mansfield, OH 44902-1206
Phone (419) 413-5839

Other identifiers 4

IdentifierTypeStateIssuer
1841780814OtherOHRBT
1083383319OtherOHRBT
1245969492OtherOHLPN/RBT
1821522863OtherOHSOCIAL WORK

Other names 1

  • Creative Learning Expressions Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elucier@creativelearningexpressions.org Direct

National Provider Directory

National Provider Directory

Locations

40 W 4th St
Mansfield, OH 44902
Phone (419) 520-3853

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1639808819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449021206",
            "telephone_number": "419-413-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449021206",
            "telephone_number": "419-413-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LEARNING EXPRESSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "419-413-5839",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "1841780814",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "1083383319",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN/RBT",
            "identifier": "1245969492",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "1821522863",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elucier@creativelearningexpressions.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Email",
            "address_1": "40 W 4th St",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449021206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Creative Learning Expressions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.