CREATIVE CARE SOLUTIONS, LLC (NPI# 1164821419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164821419 |
| Entity Type | Organization |
| Organization Name | CREATIVE CARE SOLUTIONS, LLC |
| Practice Address |
455 E Wylie Farm Rd Bloomington IN 47401-4591 |
| Practice Telephone | 8122198341 |
| Mailing Telephone | 8122198341 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | DEBORAH CHERRY WILKIN (SECRETARY) |
| Authorized Official Telephone | 8122198341 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 34004227A | IN | Agencies |
| N | 253Z00000X | In Home Supportive Care | 34004227A | IN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 34004227A | IN | Agencies |
| Street Address |
455 E WYLIE FARM RD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-4591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629487749 | Deborah C Wilkin | Counselor | 455 E Wylie Farm Rd, Bloomington, IN 47401-4591 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312043 | Jen Guidebeck, LLC | Community/Behavioral Health | 200 W Monroe St # 302c, Bloomington, IL 61701-3997 | 2019-08-20 |
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1578058913 | Ubuntu Care Services LLC | Community/Behavioral Health | 7800 Metro Pkwy Ste 71, Bloomington, MN 55425-1514 | 2018-06-28 |
| 1992242218 | The Growing Place, Inc | Community/Behavioral Health | 4326 E Beacon Ct, Bloomington, IN 47408-3001 | 2017-01-24 |
| 1245786698 | Tonya L. Bassett Counseling, Inc | Community/Behavioral Health | 200 W Monroe St Ste 25, Suite 302-a, Bloomington, IL 61701-3922 | 2016-08-26 |
| 1881046258 | Healing Waters Recovery Counseling | Community/Behavioral Health | 6954 W 84th St, Bloomington, MN 55438-1159 | 2016-07-08 |
| 1841652443 | Lyndsey Johnsen, Lcsw | Community/Behavioral Health | 901 E Grove St Ste O, Bloomington, IL 61701-8539 | 2016-03-22 |
| 1225418908 | Under The Umbrella, LLC | Community/Behavioral Health | 1136 W 17th St Ste B, Bloomington, IN 47404-3000 | 2015-06-08 |
| 1295128841 | Dawn Zywiec Professional Counseling, LLC | Community/Behavioral Health | 2310 E Oakland Ave, Suite 4, Bloomington, IL 61701-5865 | 2015-03-06 |
| 1316364607 | Innerguidance Counseling LLC | Community/Behavioral Health | 9501 Dakota Rd, Bloomington, MN 55438-1710 | 2014-03-25 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.