CREATIVE LIFE INITIATIVES, LLC (NPI# 1932767696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932767696 |
| Entity Type | Organization |
| Organization Name | CREATIVE LIFE INITIATIVES, LLC |
| Practice Address |
119 Stephen St Lemont IL 60439-3660 |
| Practice Telephone | 7086069690 |
| Practice Fax Number | 7085703833 |
| Mailing Telephone | 7086069690 |
| Mailing Fax Number | 7085703833 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | RICHARD MICHAEL TRAPP (LCPC) |
| Authorized Official Telephone | 7086069690 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
119 STEPHEN ST |
| City | LEMONT |
| State | IL |
| Zip Code | 60439-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457420739 | Richard Michael Trapp | Counselor | 119 Stephen St, Lemont, IL 60439-3660 | 2006-11-08 |
| 1407267131 | Drea Richards Counseling, Inc | Counselor | 119 Stephen St, Lemont, IL 60439-3660 | 2014-05-15 |
| 1174867048 | Waterfall Counseling LLC | Social Worker | 119 Stephen St, Lemont, IL 60439-3660 | 2012-11-16 |
| 1811186307 | Susan Jacobowski | Social Worker | 119 Stephen St, Lemont, IL 60439-3660 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801377916 | Stephanie Ann Size | Nurse Practitioner | 135th St & New Avenue, Lemont, IL 60439 | 2018-08-27 |
| 1093267544 | Blayne Denise Yarmat | Specialist/Technologist | 15822 132nd St, Lemont, IL 60439 | 2016-11-01 |
| 1720448848 | Fresenius Medical Care Lemont, LLC | Clinic/Center | 16177 W 127th Street, Lemont, IL 60439 | 2016-03-02 |
| 1629341433 | Autism Behavior & Childhood Service, Inc. | Community/Behavioral Health | 13664 Anne Drive, Lemont, IL 60439 | 2012-02-10 |
| 1295016186 | Frank James Enright II | Pharmacist | 15575 127th Street, Lemont, IL 60439 | 2011-09-06 |
| 1457632804 | Sherry A O'malley | Pharmacist | 15575 W 127th St, Lemont, IL 60439 | 2011-08-30 |
| 1093017394 | Cristy M Calderon | Behavioral Analyst | 13664 Anne Dr, Lemont, IL 60439 | 2010-11-19 |
| 1902119068 | Dr Jean Garbolski and Associates | Family Medicine | 14232 Mccarthy Road, Lemont, IL 60439 | 2010-07-19 |
| 1356660278 | Chongyang Li | Registered Nurse | 20 W 214 Meadow Ln, Lemont, IL 60439 | 2010-05-18 |
| 1972768935 | Jennifer L. Splitt-krull | Dentist | 160-b East Wend Street, Lemont, IL 60439 | 2008-07-18 |
| Find all providers in zip 60439 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867880 | Jao Counseling Inc | Clinic/Center | 921 Pike Street, Lemont, PA 16851 | 2020-10-08 |
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| 1245831569 | Chicago Psychiatric LLC | Clinic/Center | 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 | 2020-11-03 |
| 1184223133 | Kevin P. Mcdunn, Psyd, LLC | Clinic/Center | 605 W Madison St Apt 2001, Chicago, IL 60661-2469 | 2020-10-21 |
| 1699372250 | Ctf Illinois | Clinic/Center | 1400 Reynolds Dr, Charleston, IL 61920-2411 | 2020-10-07 |
| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1962017665 | Hopeology, Pllc | Clinic/Center | 700 E North St Ste B, Elburn, IL 60119-7009 | 2020-09-10 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1508479288 | Bash Psychotherapy Corporation | Clinic/Center | 413 E Berry Rd, Barrington, IL 60010-3317 | 2020-08-24 |
| 1326658402 | Ventura Counseling, LLC | Clinic/Center | 620 Manchester Ave, Westchester, IL 60154-2714 | 2020-08-04 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
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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.