CITY CREEK COUNSELING, LLC


Address: 1219 Yellowstone Ave Ste D, Pocatello, ID 83201-4368
Phone: 2083390909

CITY CREEK COUNSELING, LLC (NPI# 1649756057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649756057
Entity Type Organization
Organization Name CITY CREEK COUNSELING, LLC
Practice Address 1219 Yellowstone Ave Ste D
Pocatello
ID 83201-4368
Practice Telephone 2083390909
Practice Fax Number 2083390909
Mailing Telephone 2083390909
Mailing Fax Number 2083390909
Enumeration Date 2018-07-18
Last Update Date 2018-07-18
Authorized Official Name TANDICE CHAELEE PETERSON (CO-OWNER)
Authorized Official Telephone 2083390909
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 1219 YELLOWSTONE AVE STE D
City POCATELLO
State ID
Zip Code 83201-4368

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992040323 A To Z Family Services, Inc. Clinic/Center 732 Washington, Pocatello, ID 83201 2012-12-12
1063837003 Redford Counseling and Family Services Clinic/Center 1501 Bench Rd, Pocatello, ID 83201-2443 2014-02-27
1194063750 Physicians Mental Health Services Clinic/Center 475 Yellowstone Ave, Suite E, Pocatello, ID 83201-4528 2013-01-16
1093911828 Candlewood Family Counseling Center, Inc. Clinic/Center 335 N Main St, Pocatello, ID 83204-3108 2007-06-27
1164639290 Turning Point Counseling & Partial Care Center, Inc Clinic/Center 3330 Highway 30 W, Pocatello, ID 83201-6001 2007-05-17
1528271897 Apex Professional Services Clinic/Center 611 Wilson Ave, Suite 3-c, Pocatello, ID 83201-5046 2007-05-07
1225169139 Idaho Dept of Health & Welfare Reg 6 Amh Psr Poc Clinic/Center 421 Memorial Dr, Pocatello, ID 83201-4008 2007-03-09
1174673305 Candlewood Family Counseling Center, Inc. Clinic/Center 335 N Main St, Pocatello, ID 83204-3108 2007-01-11

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NPI Name Taxonomy Address Enumeration
1598364978 Brave Ahead Counseling Clinic/Center 991 Sunset Rd, Athol, ID 83801-9287 2020-10-18
1356959191 Healing Minds LLC Clinic/Center 6586 W Flagstaff St, Rathdrum, ID 83858-8203 2020-07-17
1487273637 Answers, LLC - Cbrs Clinic/Center 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 2020-04-08
1649808767 Psychological Preventative Health Pllc Clinic/Center 4831 Greystone Ln, Idaho Falls, ID 83404-8338 2020-04-01
1073148623 Begin Within Counseling, LLC Clinic/Center 943 W Overland Rd Ste 111, Meridian, ID 83642-6541 2020-03-04
1871126797 Avanzar Wellness LLC Clinic/Center 11513 W Fairview Ave Ste 105, Boise, ID 83713-7887 2020-02-19
1174155741 Noble Intent Clinic/Center 1406 N Main St Ste 204, Meridian, ID 83642-1746 2020-02-11
1194362517 Advanced Counseling LLC Clinic/Center 39 W Pine Ave, Meridian, ID 83642-2281 2019-12-04
1629615406 Building A Life Worth Living, LLC Clinic/Center 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 2019-11-29
1750927281 Weme Counseling and Clinical Consultation Clinic/Center 231 N Third Ave Ste 207, Sandpoint, ID 83864-1418 2019-11-19
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Competitor

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City POCATELLO
Zip Code 83201

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Dataset Information

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.

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