Creative Mind Solutions

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-001332 Issued in IL

Legal business name

CREATIVE MIND SOLUTIONS

Practice address

501 E Deyoung St
Marion, IL 62959-3328

Phone

(618) 997-0900

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Harold Edward Jones II, LCPC

Title

Owner

Phone

(618) 997-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1871994152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629593328",
            "telephone_number": "618-997-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629593328",
            "telephone_number": "618-997-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MIND SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-997-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig W Furry
• Craig W. Furry
• Richard Neal Craig, AUD
• Melissa Fern Crane, LPN
• Laurel Grace Crank
• Courtney Crees
• Emily Cripps
• Lauren Cripps, D.M.D
• Ma Claravel Baricuatro Criste, M.D.
• Alberto Dejesus Cuartas, M.D.

• All providers in Marion, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.