NPIMap

Organization Active NPI

Creekside Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oswego, NY
National Provider Identifier
1073926556
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CREEKSIDE COUNSELING SERVICES
Practice address
335 W 1St St
Oswego, NY 13126-3655
Phone
(315) 343-3344
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Dr. Jody Fiorini, PHD, LMHC
Title
Clinical Director and President
Phone
(315) 343-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

335 W 1St St
Oswego, NY 13126-3655

Mailing address

335 W 1St St
Oswego, NY 13126-3655
Phone (315) 343-3344

National Provider Directory

National Provider Directory
Tax ID family
Creekside Counseling Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1073926556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263655",
            "telephone_number": "315-343-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263655",
            "telephone_number": "315-343-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "FIORINI",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR AND PRESIDENT",
        "authorized_official_telephone_number": "315-343-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.