CREEKSIDE COUNSELING SERVICES (NPI# 1073926556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073926556 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE COUNSELING SERVICES |
| Practice Address |
335 W 1st St Oswego NY 13126-3655 |
| Practice Telephone | 3153433344 |
| Mailing Telephone | 3153433344 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Authorized Official Name | DR. JODY FIORINI (CLINICAL DIRECTOR AND PRESIDENT) |
| Authorized Official Telephone | 3153433344 |
| Authorized Official Credential | PHD, LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164854683 | Creekside Counseling Services | Counselor | 335 W 1st St, Oswego, NY 13126-3655 | 2013-08-07 |
| Street Address |
335 W 1ST ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548588007 | Creekside Mental Health Counseling Services, Pllc | Community/Behavioral Health | 335 W 1st St, Oswego, NY 13126-3655 | 2010-05-08 |
| 1679090641 | Kara L Stoffel | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2017-08-29 |
| 1386181501 | Mariya Pawlikowski | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2017-01-25 |
| 1326413857 | Alison Cramer | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2015-12-09 |
| 1033588678 | Matthew Kelly | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2015-09-24 |
| 1689043374 | Karen Crisafulli | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2015-09-23 |
| 1750758397 | Jessica S Brusgul | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2015-08-31 |
| 1497144307 | Kyle Brady Mosack | Counselor | 335 W 1st St, Oswego, NY 13126-3655 | 2015-01-15 |
| 1194138404 | Elizabeth Tiffany | Counselor | 335 W 1st St, Oswego, NY 13126-1704 | 2014-06-04 |
| 1184048555 | Alexandra Marie Lang | Counselor | 335 W 1st St, Oswego, NY 13126-3655 | 2014-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1518442276 | Family Counseling Service of Aurora | Clinic/Center | 84 Templeton Dr, Oswego, IL 60543-7008 | 2018-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.