CREATIVE ALTERNATIVES FOR PSYCHOLOGICAL GROWTH LLC (NPI# 1063724771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063724771 |
| Entity Type | Organization |
| Organization Name | CREATIVE ALTERNATIVES FOR PSYCHOLOGICAL GROWTH LLC |
| Practice Address |
645 Mchenry Ave Woodstock IL 60098-2922 |
| Mailing Address |
Po Box 1861 Woodstock IL 60098-1861 |
| Practice Telephone | 8152456669 |
| Mailing Telephone | 8152456669 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-09-14 |
| Authorized Official Name | DR. KELLY VINEHOUT (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8152456669 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 071006683 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CAQH | 11894012 | 01 |
| IL | COMPSYCH | 2201382 | 01 |
| IL | BCBS | 35641736 | 01 |
| IL | MAGELLAN | 600016110 | 01 |
| Street Address |
645 MCHENRY AVE |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028400 | Regina Leeann Lumpkins | Social Worker | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2005-10-27 |
| 1386250991 | Northwest Treatment Associates Inc | Social Worker | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2020-09-18 |
| 1790399319 | Northwest Treatment Associates | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2020-09-01 |
| 1497975494 | Susan Ann Klouda | Social Worker | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-05-01 |
| 1730201054 | Cornerstone Care, Inc. | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-04-06 |
| 1467585075 | Northwest Treatment Associates, Inc. | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-03-13 |
| 1871626481 | Carol A Fetzner | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-03-13 |
| 1568591782 | Creative Alternatives for Psychological Growth | Psychologist | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-03-05 |
| 1871642934 | Bonnie E. Marable | Psychologist | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-01-09 |
| 1821155979 | Alan Dale Belcher | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| 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 |
|---|---|---|---|---|
| 1730731910 | Puzzled Hearts LLC | Community/Behavioral Health | 10001 Village Green Dr Ste B, Woodstock, MD 21163-1148 | 2019-07-09 |
| 1174084479 | Hope Family Counseling Services, LLC | Community/Behavioral Health | 27473a Highway 5, Woodstock, AL 35188-3238 | 2019-03-28 |
| 1750691325 | Pioneer Center for Human Services | Community/Behavioral Health | 14411 Kishwaukee Valley Road, Woodstock, IL 60098 | 2010-10-18 |
| 1912236100 | Crossroads Counseling Center | Community/Behavioral Health | 649 N Main St, Woodstock, VA 22664 | 2009-12-17 |
| 1043549330 | Lookout Community Service | Community/Behavioral Health | 525 Tomahawk Trl, Woodstock, GA 30188-1741 | 2009-12-15 |
| 1942458781 | Mchenry Co. Latino Coalition | Community/Behavioral Health | 110 S Johnson St, Suite 212, Woodstock, IL 60098-3259 | 2008-09-05 |
| 1083861512 | The Thresholds | Community/Behavioral Health | 403 N Madison St, Woodstock, IL 60098-3330 | 2008-08-27 |
| 1255588729 | The Thresholds | Community/Behavioral Health | 3300 Castle Rd, Woodstock, IL 60098-9233 | 2008-08-26 |
| 1659577641 | Turning Point Inc. | Community/Behavioral Health | 11019 Route 14, Woodstock, IL 60098 | 2007-06-26 |
| 1174642607 | Focus Counseling and Training, Inc. | Community/Behavioral Health | 9876 Main Street, Suite 100, Woodstock, GA 30188 | 2007-03-28 |
| Find all providers in WOODSTOCK | ||||
Please comment or provide details below to improve the information on CREATIVE ALTERNATIVES FOR PSYCHOLOGICAL GROWTH LLC.
| 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.