Organization Active NPI

Creekside Therapy Center LLC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1124509393
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CREEKSIDE THERAPY CENTER LLC
Practice address
1080 Nimitzview Dr Ste 102
Cincinnati, OH 45230-4331
Phone
(513) 202-6654
Fax
(513) 449-2022
NPI assigned
Aug 27, 2018
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Meredith Ann Thomas, LPCC-SNPI 1023388659
Title
Owner
Phone
(513) 278-7026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1080 Nimitzview Dr Ste 102
Cincinnati, OH 45230-4331

Mailing address

1080 Nimitzview Dr Ste 102
Cincinnati, OH 45230-4331
Phone (513) 202-6654

Other practice location 1

75 Cavalier Blvd Ste 303
Florence, KY 41042-3903
Phone (513) 202-3381

Other practice location 2

401 US Highway 62 S Unit C
Hillsboro, OH 45133-6754
Phone (513) 202-3381

National Provider Directory

National Provider Directory

Locations

75 Cavalier Blvd
Ste 303
Florence, KY 41042
Phone (513) 202-3381

1080 Nimitzview Dr
Ste 102
Cincinnati, OH 45230
Phone (513) 202-6654

431 Ohio Pike
Ste 215
Cincinnati, OH 45255
Phone (513) 739-4276

401 US Highway 62 S
Unit C
Hillsboro, OH 45133
Phone (937) 594-1142

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1124509393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NIMITZVIEW DR STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304331",
            "telephone_number": "513-202-6654",
            "fax_number": "513-449-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NIMITZVIEW DR STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304331",
            "telephone_number": "513-202-6654",
            "fax_number": "513-449-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Cavalier Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410423903",
            "country_code": "US",
            "telephone_number": "513-202-3381",
            "fax_number": "513-449-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 US Highway 62 S Unit C",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451336754",
            "country_code": "US",
            "telephone_number": "513-202-3381",
            "fax_number": "513-449-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREEKSIDE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-278-7026",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.