Organization Active NPI

Create Counseling Center PLLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1861766107
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007744 Issued in IL
Legal business name
CREATE COUNSELING CENTER PLLC
Practice address
1757 N Kimball Ave Ste 206
Chicago, IL 60647-4805
Phone
(773) 969-6811
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Ms. Cherie L Lusky, LCPCNPI 1063781169
Title
Counselor
Phone
(773) 969-6811

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.007744 IL Primary

Addresses

Primary practice location

1757 N Kimball Ave Ste 206
Chicago, IL 60647-4805

Mailing address

1757 N Kimball Ave Ste 206
Chicago, IL 60647-4805
Phone (773) 969-6811

National Provider Directory

National Provider Directory

Locations

1757 N Kimball Ave
Ste 206
Chicago, IL 60647
Phone (773) 969-6811

2649 N Francisco Ave
Chicago, IL 60647

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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1861766107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 N KIMBALL AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474805",
            "telephone_number": "773-969-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 N KIMBALL AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474805",
            "telephone_number": "773-969-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "LUSKY",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "773-969-6811",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.