CREATIVE HEALING SPACE, LLC
NPI 1174393771
Counselor - Mental Health in Fall River, MA

Active since January 04, 2024
235 EMMETT ST, FALL RIVER, MA 02721(774) 264-3481 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Creative Healing Space, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE HEALING SPACE, LLC (NPI 1174393771) is a healthcare organization registered as a mental health in Fall River, Massachusetts and active in the NPI registry since January 2024. The organization lists Jessica Baraby, Owner, as its authorized official.

NPPES Registry Identity

NPI1174393771
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCREATIVE HEALING SPACE, LLC
Location Address235 EMMETT STFall River, MA 02721-3523
Mailing Address875 State Rd, Unit 11 #126Westport, MA 02790-2853 · (774) 264-3481
Organization SubpartNo
Authorized OfficialJessica BarabyOwner · (774) 264-1249
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1174393771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
235 EMMETT ST, Fall River, MA 02721

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creative Healing Space, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Creative Healing Space, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1679039705
170 PLEASANT ST
Fall River, MA 02721
(774) 294-5722
✔ PECOS✔ Accepts Medicare1.6 mi
Mental Health Counselor
NPI 1407464076
126 COVE ST
Fall River, MA 02720
(508) 678-0041
✔ PECOS✔ Accepts Medicare3.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creative Healing Space, LLC's NPI number?

The NPI number for Creative Healing Space, LLC is 1174393771. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Creative Healing Space, LLC located?

Creative Healing Space, LLC is located at 235 Emmett St, Fall River, MA 02721. The listed phone number is (774) 264-3481.

What is Creative Healing Space, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Creative Healing Space, LLC enrolled in Medicare?

Yes. Creative Healing Space, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Creative Healing Space, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Creative Healing Space, LLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Creative Healing Space, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Creative Healing Space, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Creative Healing Space, LLC was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.