CREATIVE SPACE
NPI 1720544463
Counselor - Professional in Crystal Lake, IL
About Creative Space NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREATIVE SPACE (NPI 1720544463) is a healthcare organization registered as a professional in Crystal Lake, Illinois and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Crystal Lake and lists Barbara Maulding, Ceo/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
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 Space is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Creative Space, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Space Online Counseling And Coaching, LLC's NPI number?
The NPI number for Creative Space Online Counseling And Coaching, LLC is 1720544463. It was assigned to this organization in the NPPES registry on February 19, 2019. The provider is doing business as Creative Space.
Where is Creative Space Online Counseling And Coaching, LLC located?
Creative Space Online Counseling And Coaching, LLC is located at 1566 Skyridge Dr Unit 2, Crystal Lake, IL 60014. The listed phone number is (224) 623-2251.
What is Creative Space Online Counseling And Coaching, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Creative Space Online Counseling And Coaching, LLC enrolled in Medicare?
Yes. Creative Space Online Counseling And Coaching, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Creative Space Online Counseling And Coaching, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Creative Space Online Counseling And Coaching, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Creative Space Online Counseling And Coaching, LLC accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Creative Space Online Counseling And Coaching, 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 Space Online Counseling And Coaching, LLC was last updated on March 13, 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.
# Creative Space · NPI 1720544463
Professional organization in Crystal Lake, Illinois. Organization record, active in the CMS NPPES registry since February 19, 2019.
## Identity
- **NPI:** 1720544463 (Entity type: Organization)
- **Enumerated:** February 19, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Legal business name:** Creative Space Online Counseling And Coaching, Llc
- **Organization subpart:** No
- **Authorized official:** Barbara Maulding, CEO/THERAPIST
## Practice location
- **Address:** 1566 SKYRIDGE DR UNIT 2, Crystal Lake, IL 60014-1027
- **Phone:** (224) 623-2251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2024
- **Other identifiers:** Medicaid 218215315001 (IL); Other 180010906 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1720544463) · Data from the CMS NPPES public registry.