CREATIVE CALM COUNSELING LLC


Address: 2380 State Road 44 Ste G, Oshkosh, WI 54904-6440
Phone: 9202678322

CREATIVE CALM COUNSELING LLC (NPI# 1831677079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831677079
Entity Type Organization
Organization Name CREATIVE CALM COUNSELING LLC
Practice Address 2380 State Road 44 Ste G
Oshkosh
WI 54904-6440
Practice Telephone 9202678322
Practice Fax Number 8442721439
Mailing Telephone 9202678322
Mailing Fax Number 8442721439
Enumeration Date 2018-07-31
Last Update Date 2018-07-31
Authorized Official Name PATRICIA A JIROVETZ (OWNER/ART PSHYCHOTHERAPIST)
Authorized Official Telephone 9202678322
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 43735200 05

Office Location

Street Address 2380 STATE ROAD 44 STE G
City OSHKOSH
State WI
Zip Code 54904-6440

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1831396167 Angela Marie Wade Behavioral Analyst 2986 Fitchburg Ct., Oshkosh, WI 54904 2007-06-29
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1720550981 Purple Lotus Counseling LLC Clinic/Center 516 E Wisconsin Ave Ste C, Appleton, WI 54911-4864 2018-12-27
1407370398 Tombolo, LLC Clinic/Center 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 2017-08-01
1730530239 Home Away From Home Living Services LLC Clinic/Center 8127 W Herbert Ave, Milwaukee, WI 53218-3632 2016-06-26
1891149928 Tcg Holdings 14, LLC Clinic/Center 127 N Franklin St Ste 206, Port Washington, WI 53074-1948 2016-04-14
1427410992 Shelley Boehm Mattia Md,adult Psychiatry, LLC Clinic/Center 428 Doty St, Green Bay, WI 54301-4509 2016-03-24
1982002242 Family & Childrens Center Clinic/Center 920 W Wisconsin St, Sparta, WI 54656-4217 2014-12-18
1154675924 Northshore Clinic LLC Clinic/Center 805 N 6th St, Sheboygan, WI 53081-4113 2012-11-01
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Competitor

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City OSHKOSH
Zip Code 54904

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Dataset Information

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.

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