OrganizationActive
Creating Change Counseling Center LLC
NPI 1407597743 · Clinical Social Worker · Peru, IL
Provider details
- NPI number
- 1407597743
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christine Kohut, Owner(815) 617-9420
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 5th St Ste 197
Peru, IL 61354-2876
Phone: (815) 617-9420
Street-level locationGet directions
Mailing address
400 5th St Ste 197
Peru, IL 61354-2876
Additional practice locations (1)
- 3105 E 1888th RdOttawa, IL 61350-9698Phone: (815) 617-9420
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.