Organization Active NPI

Creative Counseling Center

  • Community/Behavioral Health Agency
  • Chippewa Falls, WI
National Provider Identifier
1730517129
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3241 Issued in WI
Legal business name
CREATIVE COUNSELING CENTER
Practice address
13835 39TH Ave
Chippewa Falls, WI 54729-5028
Phone
(715) 456-1741
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Mr. Cliff Joseph Kuster, MS, LPC
Title
Mental Health Therapist
Phone
(715) 456-1741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 3241 WI
Community/Behavioral Health Agency 251S00000X 3241 WI Primary

Addresses

Primary practice location

13835 39TH Ave
Chippewa Falls, WI 54729-5028

Mailing address

13835 39TH Ave
Chippewa Falls, WI 54729-5028
Phone (715) 456-1741

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.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1730517129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13835 39TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295028",
            "telephone_number": "715-456-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13835 39TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295028",
            "telephone_number": "715-456-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "KUSTER",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "715-456-1741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "3241",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.