Creative Change, LLC
NPI 1760515498 · Clinical Psychologist · Ellisville, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Creative Change, LLC is a Clinical Psychologist organization in Ellisville, MO (NPI 1760515498).
Provider details
- NPI number
- 1760515498
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rhonda Stewart, Billing Manager(636) 893-8949
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Additional practice locations (1)
- 8772 Big Bend BlvdSaint Louis, MO 63119-3730Phone: (314) 962-7788Fax: (314) 962-4158
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Creative Change, LLC's NPI number?
- Creative Change, LLC's National Provider Identifier (NPI) is 1760515498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creative Change, LLC?
- Creative Change, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Creative Change, LLC located?
- Creative Change, LLC's practice location on file with NPPES is 177 Clarkson Executive Park, Ellisville, MO 63011-2176.
- What is Creative Change, LLC's phone number?
- The practice phone number listed in the NPPES registry for Creative Change, LLC is (314) 962-7788.
- Does Creative Change, LLC accept Medicare?
- Creative Change, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Creative Change, LLC?
- The authorized official listed on Creative Change, LLC's NPPES record is Rhonda Stewart, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creative Change, LLC's NPI active?
- Yes — Creative Change, LLC's NPI (1760515498) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.