CENTER FOR CREATIVE CHANGE
NPI 1619201746
Counselor - Mental Health in Farmington, MO

Active since September 22, 2009
506 NORTH ST, FARMINGTON, MO 63640(573) 756-3330(573) 747-3023 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center For Creative Change NPPES

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

CENTER FOR CREATIVE CHANGE (NPI 1619201746) is a healthcare organization registered as a mental health in Farmington, Missouri and active in the NPI registry since September 2009. The organization lists Lynn S James, Counselor/owner, as its authorized official.

NPPES Registry Identity

NPI1619201746
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCENTER FOR CREATIVE CHANGE
Location Address506 NORTH STFarmington, MO 63640-3213
Mailing AddressPo Box 506Farmington, MO 63640-0506 · (573) 756-3330 · Fax (573) 747-3023
Fax(573) 747-3023
Organization SubpartNo
Authorized OfficialLynn S JamesCounselor/owner · (573) 756-3330
Enumeration DateSeptember 22, 2009
NPI 1619201746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MO · 001502
506 NORTH ST, Farmington, MO 63640

Other Identifiers 1

Medicaid493642904MO

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
506 NORTH ST
FARMINGTON, MO 63640

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 Center For Creative Change's NPI number?

The NPI number for Center For Creative Change is 1619201746. It was assigned to this organization in the NPPES registry on September 22, 2009.

Where is Center For Creative Change located?

Center For Creative Change is located at 506 North St, Farmington, MO 63640. The listed phone number is (573) 756-3330.

What is Center For Creative Change's specialty?

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

When was this NPI record last updated?

The NPPES record for Center For Creative Change was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.