Creative Counseling for Healthy Living, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CREATIVE COUNSELING FOR HEALTHY LIVING, LLC

Practice address

5030 38TH Ave Ste 10&11
Moline, IL 61265-6717

Phone

(309) 429-8959

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Welvaert-Koch, MS. ED, LCPC

Title

Counselor

Phone

(309) 429-8959

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1902370422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 38TH AVE STE 10&11",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656717",
            "telephone_number": "309-429-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 38TH AVE STE 10&11",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656717",
            "telephone_number": "309-429-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING FOR HEALTHY LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "WELVAERT-KOCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "309-429-8959",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS. ED, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Cooper, PT, DPT, PHD
• Cornerstone Caregiving East LLC
• Cheryl Jane Costello, PTA
• Trevor Craig
• Karrie Crawford, PT
• Steven A. Cremer, M.D.
• Jeanie Marie Crowe, MHP
• Michael L Cullen, MD
• Emily Cummings
• Stephen Currie, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Moline, IL
• Providers in Moline, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.