Active NPI
Creative Life Counseling Services
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1881979821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 180007233
- Legal business name
- CREATIVE LIFE COUNSELING SERVICES
- Practice address
- 1925 N. Milwaukee Ave.
Chicago, IL 60647-4345 - Phone
- (773) 576-7032
- Fax
- (773) 486-1345
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura E Foster, LCPC
- Title
- Therapist
- Phone
- (773) 576-7032
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 180007233 | IL | Primary |
Addresses
Primary practice location
1925 N. Milwaukee Ave.
Chicago, IL 60647-4345
Mailing address
1925 N. Milwaukee Ave.
Chicago, IL 60647-4345
Phone (773) 576-7032
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1386830909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319068800000",
"number": "1881979821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 N. MILWAUKEE AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606474345",
"telephone_number": "773-576-7032",
"fax_number": "773-486-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 N. MILWAUKEE AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606474345",
"telephone_number": "773-576-7032",
"fax_number": "773-486-1345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE LIFE COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "773-576-7032",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "180007233",
"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 Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.