Creative Space Online Counseling and Coaching, LLC
NPI 1720544463ActiveOrganization· Counselor, Professional· Crystal Lake, IL
Counselor, Professional in Crystal Lake, Illinois, registered in NPPES in February 2019. The authorized official on file is Barbara Maulding, LCPC, Ceo/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720544463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2019 |
| Last updated in NPPES | Mar 13, 2024 |
| Certified by provider | Mar 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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