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CREATIVE WISDOM COUNSELING SERVICES, LLC
NPI 1851995641
Social Worker - Clinical in West Peoria, IL

Active since November 23, 2020
2700 W ARDMORE PL, WEST PEORIA, IL 61604(309) 989-0052 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2024, Nov 23, 2020 (2 updates tracked since 2020).

About Creative Wisdom Counseling Services, Llc NPPES

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

CREATIVE WISDOM COUNSELING SERVICES, LLC (NPI 1851995641) is a healthcare organization registered as a clinical in West Peoria, Illinois and active in the NPI registry since November 2020. The organization lists Karen L Watson, Mental Health Professional, as its authorized official.

NPPES Registry Identity

NPI1851995641
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCREATIVE WISDOM COUNSELING SERVICES, LLC
Location Address2700 W ARDMORE PLWest Peoria, IL 61604-4934
Mailing Address2700 W Ardmore PlWest Peoria, IL 61604-4934 · (309) 989-0052
Phone(309) 989-0052
Organization SubpartNo
Authorized OfficialKaren L WatsonMental Health Professional · (309) 989-0052
Enumeration DateNovember 23, 2020
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1851995641 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.
2700 W ARDMORE PL, West Peoria, IL 61604
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Other Names 1

Other NameCreative Wisdom Counseling Services, Llc

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

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 Wisdom Counseling Services, Llc 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 Wisdom Counseling Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Karen Watson, LCSW
Clinical Social Worker
NPI 1104009224
2700 W ARDMORE PL
West Peoria, IL 61604
(309) 989-0052
✔ PECOS✔ Accepts MedicareSame address

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 Wisdom Counseling Services, LLC's NPI number?

The NPI number for Creative Wisdom Counseling Services, LLC is 1851995641. It was assigned to this organization in the NPPES registry on November 23, 2020.

Where is Creative Wisdom Counseling Services, LLC located?

Creative Wisdom Counseling Services, LLC is located at 2700 W Ardmore Pl, West Peoria, IL 61604. The listed phone number is (309) 989-0052.

What is Creative Wisdom Counseling Services, LLC's specialty?

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

Is Creative Wisdom Counseling Services, LLC enrolled in Medicare?

Yes. Creative Wisdom Counseling Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Creative Wisdom Counseling Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Creative Wisdom Counseling Services, 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.

When was this NPI record last updated?

The NPPES record for Creative Wisdom Counseling Services, LLC was last updated on September 19, 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.