Organization Active NPI

Creative Life Counseling Services

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1881979821
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180007233 Issued in IL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Laura E Foster, LCPCNPI 1386830909
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.