Mountain Creek Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOUNTAIN CREEK COUNSELING, LLC

Practice address

1110 W B St Ste H
Russellville, AR 72801-3506

Phone

(479) 733-8118

NPI assigned

Apr 25, 2023

Last updated

Apr 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cory Parsons, LPCNPI 1902352115

Title

Owner/Therapist

Phone

(479) 733-8118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

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.

• Cory Parsons, LAC

  • Professional Counselor
  • Russellville, AR
  • NPI 1902352115

  Mental Health

  Medicare reassignment NPD Authorized official
• Jeanne Carol Bobo, LPC

  • Mental Health Counselor
  • Clarksville, AR
  • NPI 1912156928
  Medicare reassignment NPD
• Alex Jordan Dorch

  • Mental Health Counselor
  • Russellville, AR
  • NPI 1730674250
  NPD (past)

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1124716493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 RIVERSIDE RD",
            "city": "DELAWARE",
            "state": "AR",
            "postal_code": "728357009",
            "telephone_number": "479-477-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W B ST STE H",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013506",
            "telephone_number": "479-733-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CREEK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "479-733-8118",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Morris
• Shelby Louise Morris, SLP
• Victoria R Morris, RECOVERY ASSISTANT
• Shae Mortazavi, QBHP
• Alannah Mory, RECOVERY ASSISTANT
• Melanie Mourot
• Correy Elizabeth Moyer, ST
• Margaret Danielle Mullins-Moats, FNP-C
• Lauren Murchison, APRN
• Frances Murdock, LPE

• Mental Health Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.