CREATIVE POTENTIAL LLC
NPI 1679239826
Counselor in Uncasville, CT

NPI Status: Active since November 11, 2021

Contact Information

912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT
ZIP 06382
Phone: (860) 848-0514
Fax: (860) 848-0523

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  • Organization
  • Counselor

About CREATIVE POTENTIAL LLC

This page provides the complete NPI Profile along with additional information for Creative Potential Llc, a provider established in Uncasville, Connecticut operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1679239826 assigned on November 2021. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Sierra R Davis Ms (Owner)

NPI
1679239826
Provider Name
CREATIVE POTENTIAL LLC
Entity Type
Organization
Location Address
912 NORWICH NEW LONDON TPKE STE 5 UNCASVILLE, CT 06382
Location Phone
(860) 848-0514
Location Fax
(860) 848-0523
Mailing Address
912 NORWICH NEW LONDON TPKE STE 5 UNCASVILLE, CT 06382
Mailing Phone
(860) 848-0514
Mailing Fax
(860) 848-0523
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2021
Last Update Date
11-11-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2251S00000XAgencies

Community/Behavioral Health

 
3253Z00000XAgencies

In Home Supportive Care

 
4261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
5385HR2065XRespite Care Facility

Respite Care
Respite Care, Physical Disabilities, Child

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SIERRA R DAVIS MS

Authorized Official Title
OWNER
Authorized Official Phone
(860) 848-0514

Reviews for CREATIVE POTENTIAL LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679239826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149431884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 4 + 3 + 1 + 8 + 8 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1679239826 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114504941CREATIVE POTENTIAL LLC
Organization
Technician (Personal Care Attendant)912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1649914417MRS. BRITTANY MARIE OPENSHAW
Individual
Behavior Analyst912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1154015147MS. MELISSA MALTESE
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1407540495MR. MICHAEL CIVITELLO
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1467146464MR. DANTE DAVIS
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1588348627MS. DIANE DONATELLO
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1588358576MS. CHOLE CALKINS
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1639853856MS. CAROLYN MOODY
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1649964644MRS. JOANN SERAPHIN
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1679267066MRS. TAMMY BROWN
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1790479129MRS. DESSIRAY TAYLOR
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1902580145MRS. DIANA PLOWELL
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1922792910MR. CALVIN PHELAN
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1932883170MS. ELIZABETH SMITH
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 847-0514
1255115200MS. SYDNEY BYRD
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1891579843MS. MELISSA MAZER- SCOTT
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1013797612MRS. MORGAN FENNER
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1770941692 DANIELLE HOFFMAN BCBA
Individual
Behavior Analyst912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 874-3150
1760248546 CHRISTIANNA ALDRIDGE
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514
1841056629 DOMINIQUE SEIGNIOUS
Individual
Behavior Technician912 NORWICH NEW LONDON TPKE STE 5
UNCASVILLE, CT 06382
(860) 848-0514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679239826, enumerated in the NPI registry as an "organization" on November 11, 2021

The provider is located at 912 Norwich New London Tpke Ste 5 Uncasville, Ct 06382 and the phone number is (860) 848-0514

This medical organization specializes in Counselor with taxonomy code 101Y00000X

This NPI record was last updated on November 11, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.