CREEKSIDE COUNSELING, LLC (NPI# 1346672078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346672078 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE COUNSELING, LLC |
| Practice Address |
211 N Iowa St Gunnison CO 81230-2219 |
| Practice Telephone | 9706411286 |
| Practice Fax Number | 9706414648 |
| Mailing Telephone | 9706411286 |
| Mailing Fax Number | 9706414648 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | DEBRA A DYKES (OWNER/THERAPIST) |
| Authorized Official Telephone | 9706411286 |
| Authorized Official Credential | MA, LPC, CACII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | INDIVIDUAL NPI | 1417080920 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599564 | Creekside Counseling, LLC | Social Worker | 7 Saint Andrews Ct, Brunswick, GA 31520-6764 | 2019-10-10 |
| Street Address |
211 N IOWA ST |
| City | GUNNISON |
| State | CO |
| Zip Code | 81230-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982848784 | Carol Jolene Goldfain | Counselor | 211 N Iowa St, Gunnison, CO 81230-2219 | 2009-04-23 |
| 1003206764 | Kristen Tobiassen | Massage Therapist | 211 N Iowa St, Gunnison, CO 81230-2219 | 2015-02-02 |
| 1962785600 | Traci Chivington | Massage Therapist | 211 N Iowa St, Gunnison, CO 81230-2219 | 2011-09-20 |
| 1053618785 | Tricia Kalka | Massage Therapist | 211 N Iowa St, Gunnison, CO 81230-2219 | 2011-02-15 |
| 1356648083 | Tricia Kalka, Lmp, LLC | Massage Therapist | 211 N Iowa St, Gunnison, CO 81230-2219 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646391 | Pinnacle Insight LLC | Counselor | 587 Fairway Lane, Gunnison, CO 81230 | 2020-07-15 |
| 1689034084 | Emily Fitzgerald | Registered Nurse | 225 N Pine St., Ste E, Gunnison, CO 81230 | 2016-02-26 |
| 1184046617 | Rebecca Mecklenburg | Massage Therapist | 116 N Wisconsin St, Gunnison, CO 81230 | 2014-01-17 |
| 1538486824 | Brenda G. Ryan | Registered Nurse | 225 N. Pine St., Suite E, Gunnison, CO 81230 | 2010-04-26 |
| 1376784546 | Cynthia Cooper Smock | Counselor | 107 E Georgia, Suite 3e, Gunnison, CO 81230 | 2009-03-17 |
| 1154407823 | Gregory F Holley | Physician Assistant | 707 North Taylor, Gunnison, CO 81230 | 2006-10-27 |
| 1942234943 | Belinda A Beal | Counselor | 710 N Taylor St, Gunnison, CO 81230 | 2006-07-10 |
| 1447282843 | Brenda Creitz | Nurse Anesthetist, Certified Registered | 112 W. Spencer, Suite A, Denver, CO 81230 | 2006-07-07 |
| 1225073992 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 880 N Main St, Gunnison, CO 81230 | 2006-06-18 |
| 1235114018 | Sherry L Niccoli | Obstetrics & Gynecology | 234 N Main, Ste 2c, Gunnison, CO 81230 | 2005-12-14 |
| Find all providers in zip 81230 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043753031 | Keith R Holder | Counselor | 255 E. 300 N., Gunnison, UT 84634-0550 | 2016-11-23 |
| 1497100473 | Lorie A Fuller | Counselor | 587 Fairway Ln, Gunnison, CO 81230-4134 | 2016-04-27 |
| 1184093312 | Nancy Lakiotes | Counselor | Tomichi Hall 104 Adams St, Gunnison, CO 81231-0001 | 2015-09-17 |
| 1720462740 | Kelly Noelle Banas | Counselor | 123 W Tomichi Ave Ste 8, Gunnison, CO 81230-2345 | 2015-07-20 |
| 1639508856 | Casey Haskell | Counselor | 104 Tomichi Hl, Excalante Center, Gunnison, CO 81231-0898 | 2013-11-07 |
| 1922285261 | Rhonda Elaine Stewart | Counselor | 255e 300n, Gunnison, UT 84634 | 2008-01-29 |
| 1780227017 | Ahlsa Light Woodward | Counselor | 710 N Main St, Gunnison, CO 81230-2412 | 2019-10-18 |
| 1134645427 | Louise M Perry | Counselor | 710 N Taylor St, Gunnison, CO 81230-2244 | 2017-08-17 |
| 1013443951 | Jessica Lauren Vogan | Counselor | 710 N Taylor St, Gunnison, CO 81230-2244 | 2017-05-11 |
| 1003352477 | Betty Sue Gurk | Counselor | 710 N Taylor St, Gunnison, CO 81230-2244 | 2017-01-10 |
| Find all providers in GUNNISON | ||||
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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.