Creative Counseling Solutions, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1022691 Issued in MA

Legal business name

CREATIVE COUNSELING SOLUTIONS, INC

Practice address

345 Union St
New Bedford, MA 02740-3679

Phone

(508) 717-0212

Fax

(508) 717-0212

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert Edward Konkel, LICSWNPI 1497803548

Title

President

Phone

(508) 717-0212

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Robert Edward Konkel, MSW, LICSW

  • Clinical Social Worker
  • New Bedford, MA
  • NPI 1497803548
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1760626527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 UNION ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403679",
            "telephone_number": "508-717-0212",
            "fax_number": "508-717-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 UNION ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403679",
            "telephone_number": "508-717-0212",
            "fax_number": "508-717-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "KONKEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-717-0212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "P06582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "013485440-0",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853937",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBHC",
            "identifier": "6254470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charisma Cox
• John Paul Craford, M.D.
• Erin Cranstoun, D.C.
• Gail E Cranstoun
• Lisa A Crary, NP-C
• Creative Dental Group, PLLC
• Paula Whiting Creighton, MA
• Crisis Averted LLC
• William NMN Cristo Jr., MD
• Brienne Cronin, NP

• Clinical Social Worker in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.