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CREATIVE COUNSELING CENTER
NPI 1760913362
Counselor in Kaukauna, WI

Active since March 24, 2017
1 BANK AVE, KAUKAUNA, WI 54130(920) 470-8359(920) 843-9381 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creative Counseling Center NPPES

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

CREATIVE COUNSELING CENTER (NPI 1760913362) is a healthcare organization registered as a counselor in Kaukauna, Wisconsin and active in the NPI registry since March 2017. The organization lists Heather Anne Reardon-nabbefeld, Counselor, as its authorized official.

NPPES Registry Identity

NPI1760913362
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameHEATHER A. REARDON LLC
Location Address1 BANK AVEKaukauna, WI 54130-2581
Mailing Address1 Bank AveKaukauna, WI 54130-2581 · (920) 470-8359 · Fax (920) 843-9381
Phone(920) 470-8359
Fax(920) 843-9381
Organization SubpartNo
Authorized OfficialHeather Anne Reardon-nabbefeldCounselor · (920) 470-8359
Enumeration DateMarch 24, 2017
✔ NPI 1760913362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 6018-125
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1 BANK AVE, Kaukauna, WI 54130
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Other Names 1

Doing Business AsCreative Counseling Center

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 5

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

MAGIERA EYECARE LLC
Optometrist
1 BANK AVE
KAUKAUNA, WI 54130
Outagamie County (920) 766-2481
DR. MARK ARTHUR EBBEN OD OPTOMETRIST
Optometrist
1 BANK AVE
KAUKAUNA, WI 54130
Outagamie County (920) 766-2481
DR. JENNA LELSEY SULLIVAN OD
Optometrist
1 BANK AVE
KAUKAUNA, WI 54130
Outagamie County (920) 766-2481
ORTHOPEDIC AND SPINE THERAPY OF MENASHA SC
Physical Therapist
1 BANK AVE, SUITE C
KAUKAUNA, WI 54130
Outagamie County (920) 759-9075
MAGIERA EYECARE LLC.
Optometrist
1 BANK AVE
KAUKAUNA, WI 54130
Outagamie County (920) 766-2481

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 Heather A. Reardon LLC's NPI number?

The NPI number for Heather A. Reardon LLC is 1760913362. It was assigned to this organization in the NPPES registry on March 24, 2017. The provider is doing business as Creative Counseling Center.

Where is Heather A. Reardon LLC located?

Heather A. Reardon LLC is located at 1 Bank Ave, Kaukauna, WI 54130. The listed phone number is (920) 470-8359.

What is Heather A. Reardon LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Heather A. Reardon LLC was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.