Organization Active NPI

Creative Calm Counseling LLC

  • Adult Mental Health Clinic/Center
  • Oshkosh, WI
National Provider Identifier
1831677079
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CREATIVE CALM COUNSELING LLC
Practice address
2380 State Road 44 Ste G
Oshkosh, WI 54904-6440
Phone
(920) 267-8322
Fax
(844) 272-1439
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Patricia A Jirovetz, LPC
Title
Owner/Art Pshychotherapist
Phone
(920) 267-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2380 State Road 44 Ste G
Oshkosh, WI 54904-6440

Mailing address

2380 State Road 44 Ste G
Oshkosh, WI 54904-6440
Phone (920) 267-8322

Other identifiers 1

IdentifierTypeStateIssuer
43735200MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1831677079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 STATE ROAD 44 STE G",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046440",
            "telephone_number": "920-267-8322",
            "fax_number": "844-272-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 STATE ROAD 44 STE G",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046440",
            "telephone_number": "920-267-8322",
            "fax_number": "844-272-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CALM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "JIROVETZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ART PSHYCHOTHERAPIST",
        "authorized_official_telephone_number": "920-267-8322",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43735200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.