Creative Life Support Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CREATIVE LIFE SUPPORT SERVICES LLC

Practice address

464 E Main St Ste D
Columbus, OH 43215-5448

Phone

(614) 353-6159

Fax

(833) 388-4255

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Steven MayesNPI 1700375268

Title

Owner

Phone

(161) 435-3615

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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

• Patricia D. Bailey, CNP

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1538309323

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Steven Lamar Mayes, QMHS

  • Case Manager/Care Coordinator
  • Columbus, OH
  • NPI 1700375268
  NPD Authorized official
• Michelle Hameed

  • Case Manager/Care Coordinator
  • Columbus, OH
  • NPI 1700765484
  NPD
• Kylan M Hansard, QMHS

  • Case Manager/Care Coordinator
  • Columbus, OH
  • NPI 1043148208
  NPD (past)
• Ernest Clayborn Higginbotham III, QMHS

  • Case Management Agency
  • Columbus, OH
  • NPI 1649108895
  NPD (past)

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1649005000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 E MAIN ST STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155448",
            "telephone_number": "614-353-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 E MAIN ST STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155448",
            "telephone_number": "614-353-6159",
            "fax_number": "833-388-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIFE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "161-435-3615"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla E Creasey
• Creative Alignment Therapeutic Services
• Creative Home Health Care LLC
• Creative Housing, Inc.
• Creative Kids Child Care Center
• Creative Minds Adults Day Habilitation Services
• Creative Minds, Inc. 7
• Creative Options for Healing
• Creative Smiles Inc
• John William Crecelius, MD

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.