Creating Solutions Therapy LLC
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Rome City, IN
NPI 1750140521 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1750140521
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- CREATING SOLUTIONS THERAPY LLC
- Practice address
- 10105 N Eagle Island Rd
Rome City, IN 46784-9791 - Phone
- (260) 740-1092
- Fax
- (260) 433-6561
- NPI assigned
- Mar 15, 2024
- Organization subpart
- No
Authorized official
- Name
- Karen M. Stephenson, LCAC
- Title
- Therapist
- Phone
- (260) 740-1092
Practitioners 1
-
Karen M. Stephenson, LCAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240708002435 | IN | Part B Supplier - Clinic/Group Practice | 9133664733 |
Receives reassigned benefits from 1 practitioner Practice locations: Rome City, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes |
Addresses
Primary practice location
10105 N Eagle Island Rd
Rome City, IN 46784-9791
Mailing address
10105 N Eagle Island Rd
Rome City, IN 46784-9791
Phone (260) 740-1092
Other providers in Rome City, IN
All providers in Rome City, IN · Addiction (Substance Use Disorder) Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.