OrganizationActive
Center for Creative Change
NPI 1619201746 · Mental Health Counselor · Farmington, MO
Provider details
- NPI number
- 1619201746
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lynn James, Counselor/Owner(573) 756-3330
- License
- 001502 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
506 North St
Farmington, MO 63640-3213
Phone: (573) 756-3330
Fax: (573) 747-3023
Street-level locationGet directions
Mailing address
Po Box 506
Farmington, MO 63640-0506
Registry dates
- Enumerated
- 2009-09-22
- Last updated
- 2009-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.