Organization Active NPI

Creative Counseling and Evaluation Services, LLC

  • Community/Behavioral Health Agency
  • Waukegan, IL
National Provider Identifier
1922491919
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
248000668 Issued in IL
Legal business name
CREATIVE COUNSELING AND EVALUATION SERVICES, LLC
Practice address
2835 Belvidere Rd
Suite 214
Waukegan, IL 60085-6046
Phone
(847) 672-9059
Fax
(847) 672-8237
NPI assigned
Mar 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Ms. Becky Vinson-Boyer, LCPC
Title
Owner
Phone
(847) 672-9059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 248000668 IL Primary

Addresses

Primary practice location

2835 Belvidere Rd
Suite 214
Waukegan, IL 60085-6046

Mailing address

2835 Belvidere Rd
Suite 214
Waukegan, IL 60085-6046
Phone (847) 672-9059

National Provider Directory

National Provider Directory

Locations

2835 Belvidere Rd
Ste 214
Waukegan, IL 60085
Phone (847) 672-9059

Practitioners & affiliated clinicians

Practitioners 2

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": "1426291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1922491919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 BELVIDERE RD",
            "address_2": "SUITE 214",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856046",
            "telephone_number": "847-672-9059",
            "fax_number": "847-672-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 BELVIDERE RD",
            "address_2": "SUITE 214",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856046",
            "telephone_number": "847-672-9059",
            "fax_number": "847-672-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING AND EVALUATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "VINSON-BOYER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-672-9059",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "248000668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.