Creative Healing Art Therapy, PLLC
NPI 1295221984ActiveOrganization· Counselor, Professional· Bloomington, IL
Counselor, Professional in Bloomington, Illinois, registered in NPPES in July 2018. The authorized official on file is Karli Johnson, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295221984 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2018 |
| Last updated in NPPES | Oct 24, 2023 |
| Certified by provider | Oct 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 180011489 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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