CRYSTAL CREEK COUNSELING (NPI# 1124553102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124553102 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CREEK COUNSELING |
| Practice Address |
400 W Midland Ave Woodland Park CO 80863-3144 |
| Mailing Address |
Po Box 94 11120 Pueblo Ave Green Mountain Falls CO 80819-0094 |
| Practice Telephone | 7196405344 |
| Mailing Telephone | 7196405344 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | JERILYN YINGLING (OWNER/CLINICIAN) |
| Authorized Official Telephone | 7196866703 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0012668 | CO | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Crystal Creek Counseling | 400 W. Midland Ave., Woodland Park, CO 80863 |
| Colorado Business Entities | Crystal Creek Counseling, P.c, Inc. | P.o. Box 94, Green Mountain Falls, CO 80819 |
| Street Address |
400 W MIDLAND AVE |
| City | WOODLAND PARK |
| State | CO |
| Zip Code | 80863-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275791949 | Katherine Diane Clark | Counselor | 400 W Midland Ave, Suite 202, Woodland Park, CO 80863-3144 | 2008-05-29 |
| 1093168650 | Aspire Counseling, LLC | Counselor | 400 W Midland Ave, Suite 160 A&b, Woodland Park, CO 80863-3144 | 2016-07-19 |
| 1780055574 | A Willow Bends, LLC | Counselor | 400 W Midland Ave, Suite 200, Woodland Park, CO 80863-3144 | 2015-10-19 |
| 1427449974 | Carrie Watson | Counselor | 400 W Midland Ave, Suite 160 A&b, Woodland Park, CO 80863-3144 | 2015-02-05 |
| 1174821623 | St Francis Woods LLC | Assisted Living Facility | 400 W Midland Ave, Pob. 5430, Woodland Park, CO 80863-3144 | 2011-03-08 |
| 1063710432 | Mid-states Senior Living LLC | Skilled Nursing Facility | 400 W Midland Ave, Pob 5430, Woodland Park, CO 80863-3144 | 2011-03-08 |
| 1285965434 | Carla Falkenmayer | Counselor | 400 W Midland Ave, Woodland Park, CO 80863-3144 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576867 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 333 North West Street, Woodland Park, CO 80863 | 2020-07-23 |
| 1003461476 | Alive Connections Counseling, LLC | Community/Behavioral Health | 321 West Henrietta Avenue, Office D-8, Woodland Park, CO 80863 | 2019-08-02 |
| 1720630130 | Jennifer Fuller James | Social Worker | 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 | 2019-07-15 |
| 1558861815 | Thrive Primary Care At Woodland Park LLC | Nurse Practitioner | 1067 Us 24, 276, Woodland Park, CO 80863 | 2018-02-13 |
| 1841712080 | Jamie Andersen | Marriage & Family Therapist | 321 W. Henrietta Ave, Suite B, Woodland Park, CO 80863 | 2017-07-10 |
| 1720438492 | Laurie Kim Warchol | Counselor | 321 West Henrietta, Woodland Park, CO 80863 | 2016-06-14 |
| 1255788402 | Colorado Lions Camp Inc | Respite Care | 28541 Highway 67, Wooodand Park, CO 80863 | 2016-05-18 |
| 1619337193 | Ariana Papi | Specialist/Technologist, Other | 16240 W Hwy 24, Woodland Park, CO 80863 | 2016-02-26 |
| 1104281864 | Daybreak-an Adult Day Program | Respite Care | 404 North Highway 67, Woodland Park, CO 80863 | 2015-12-23 |
| 1104281906 | Kingdom Pediatric Therapy | Speech-Language Pathologist | 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 | 2015-12-21 |
| Find all providers in zip 80863 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727308 | Bristlecone Family Counseling: Mental Health Counseling for Children & | Counselor | 700 Valley View Dr, Woodland Park, CO 80863-8370 | 2020-10-11 |
| 1003469511 | Kelly J Echols | Counselor | 400 W Midland Ave Ste 155, Woodland Park, CO 80863-3196 | 2019-07-23 |
| 1922586908 | Daniel J Lebsack | Counselor | 700 Valley View Dr Unit D, Woodland Park, CO 80863-8000 | 2018-08-01 |
| 1306398920 | Christina Palmer | Counselor | 400 W Midland Ave # 250, Woodland Park, CO 80863-3144 | 2016-10-31 |
| 1720438492 | Laurie Kim Warchol | Counselor | 321 West Henrietta, Woodland Park, CO 80863 | 2016-06-14 |
| 1366803652 | Carla Helb | Counselor | 43 Graphite Dr, Woodland Park, NJ 07424-4250 | 2016-03-14 |
| 1396130845 | Janice Celia Jolin | Counselor | 47 Garden Ave, Woodland Park, NJ 07424-3337 | 2015-04-01 |
| 1255750634 | Carol Ann Cilona | Counselor | 2 Vernon Ct, Woodland Park, NJ 07424-2737 | 2014-04-14 |
| 1114343928 | Jerilyn L Yingling | Counselor | 400 W Midland Ave Ste 250d, Woodland Park, CO 80863-3204 | 2014-03-17 |
| 1639305204 | Therapyworks LLC | Counselor | 471 S Baldwin St Ste 3d, Woodland Park, CO 80863-3125 | 2009-06-09 |
| Find all providers in WOODLAND PARK | ||||
| City | WOODLAND PARK |
| Zip Code | 80863 |
Please comment or provide details below to improve the information on CRYSTAL CREEK COUNSELING.
| 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.