NPIMap

Organization Active NPI

Creating Connections Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delaware, OH
National Provider Identifier
1811546476
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CREATING CONNECTIONS COUNSELING CENTER LLC
Practice address
15 W Central Ave Ste 103
Delaware, OH 43015-1953
Phone
(614) 949-5078
NPI assigned
Sep 6, 2019
Last updated
Sep 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Sherry Anne Inskeep, LISW-SNPI 1043473101
Title
Owner
Phone
(614) 949-5078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

15 W Central Ave Ste 103
Delaware, OH 43015-1953

Mailing address

15 W Central Ave Ste 103
Delaware, OH 43015-1953
Phone (614) 949-5078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015002330 OH Part B Supplier - Clinic/Group Practice 5991036402 Receives reassigned benefits from 7 practitioners
Practice locations: Delaware, OH

National Provider Directory

National Provider Directory

Locations

15 W Central Ave
Ste 103
Delaware, OH 43015
Phone (614) 361-0197

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1811546476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W CENTRAL AVE STE 103",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151953",
            "telephone_number": "614-949-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W CENTRAL AVE STE 103",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151953",
            "telephone_number": "614-949-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CONNECTIONS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "INSKEEP",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-949-5078",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.