Organization Active NPI

Creekside Counseling Services

  • Mental Health Counselor
  • Oswego, NY
National Provider Identifier
1164854683
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREEKSIDE COUNSELING SERVICES
Practice address
335 W 1St St
Oswego, NY 13126-3655
Phone
(315) 343-3344
Fax
(877) 522-7977
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 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.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1164854683",
    "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",
            "fax_number": "877-522-7977"
        },
        {
            "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",
            "fax_number": "877-522-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "FIORINI",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR AND PRESIDENT",
        "authorized_official_telephone_number": "315-343-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC, PH. D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Aug 7, 2013; 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.