CREATING CHANGE COUNSELING CENTER LLC
NPI 1407597743
Social Worker - Clinical in Peru, IL

Active since April 01, 2022
400 5TH ST STE 197, PERU, IL 61354(815) 617-9420 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creating Change Counseling Center Llc NPPES

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

CREATING CHANGE COUNSELING CENTER LLC (NPI 1407597743) is a healthcare organization registered as a clinical in Peru, Illinois and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Ottawa and lists Christine Kohut, Owner, as its authorized official.

NPPES Registry Identity

NPI1407597743
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCREATING CHANGE COUNSELING CENTER LLC
Location Address400 5TH ST STE 197Peru, IL 61354-2876
Mailing Address400 5th St Ste 197Peru, IL 61354-2876 · (815) 617-9420
Organization SubpartNo
Authorized OfficialChristine KohutOwner · (815) 617-9420
Enumeration DateApril 1, 2022
Last NPPES UpdateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
NPI 1407597743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
400 5TH ST STE 197, Peru, IL 61354

Secondary Practice Location 1

Location 13105 E 1888th RdOttawa, IL 61350-9698 · Phone (815) 617-9420

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Creating Change Counseling Center LLC's NPI number?

The NPI number for Creating Change Counseling Center LLC is 1407597743. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is Creating Change Counseling Center LLC located?

Creating Change Counseling Center LLC is located at 400 5th St Ste 197, Peru, IL 61354. The listed phone number is (815) 617-9420.

What is Creating Change Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Creating Change Counseling Center LLC was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.