CREATIVE SPACE
NPI 1720544463
Counselor - Professional in Crystal Lake, IL

Active since February 19, 2019
1566 SKYRIDGE DR UNIT 2, CRYSTAL LAKE, IL 60014(224) 623-2251 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2021, Jun 11, 2019, Feb 19, 2019 (3 updates tracked since 2019).

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

NPI1720544463
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCREATIVE SPACE ONLINE COUNSELING AND COACHING, LLC
Location Address1566 SKYRIDGE DR UNIT 2Crystal Lake, IL 60014-1027
Mailing Address1566 Skyridge Dr Unit 2Crystal Lake, IL 60014-1027 · (224) 623-2251
Organization SubpartNo
Authorized OfficialBarbara MauldingCeo/therapist · (224) 623-2251
Enumeration DateFebruary 19, 2019
Last NPPES UpdateMarch 13, 20243 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
NPI 1720544463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1566 SKYRIDGE DR UNIT 2, Crystal Lake, IL 60014

Other Names 1

Doing Business AsCreative Space

Secondary Practice Location 1

Location 135 Burdent Dr Ste FCrystal Lake, IL 60014-4233 · Phone (224) 623-2251

Other Identifiers 2

Medicaid218215315001IL
Other180010906IL · Idfpr

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 (Professional)
1566 SKYRIDGE DR UNIT 2
CRYSTAL LAKE, IL 60014

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.

What insurance does Creative Space Online Counseling And Coaching, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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.