NPIMap

Organization Active NPI

Creekside Counseling, Inc

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1063757250
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
08-03-04 Issued in OR
Legal business name
CREEKSIDE COUNSELING, INC
Practice address
2586 12TH PL SE
Salem, OR 97302-2536
Phone
(503) 371-4160
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tonia Castilleja, BS, CADC 1
Title
Case Manager/ Insurance Specialist
Phone
(503) 371-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 08-03-04 OR Primary

Addresses

Primary practice location

2586 12TH PL SE
Salem, OR 97302-2536

Mailing address

2586 12TH PL SE
Salem, OR 97302
Phone (503) 371-4160

National Provider Directory

National Provider Directory

Locations

2586 12th Pl SE
Salem, OR 97302
Phone (503) 371-4160

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1063757250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022536",
            "telephone_number": "503-371-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "CASTILLEJA",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "CASE MANAGER/ INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "503-371-4160",
        "authorized_official_credential": "BS, CADC 1"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "08-03-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.