Creekside Counseling Center Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

38104 Issued in CA

Legal business name

CREEKSIDE COUNSELING CENTER INC

Practice address

1170 Industrial St
Redding, CA 96002-0734

Phone

(530) 722-9957

Fax

(530) 722-9294

NPI assigned

Jul 12, 2006

Last updated

Dec 28, 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

Kristin Kirk

Title

Executive Director

Phone

(530) 722-9957

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 54

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.

• Keith James Barnett, LCSW

  • Clinical Social Worker
  • Red Bluff, CA
  • NPI 1972764660
  Medicare reassignment Care Compare group NPD
• Cory Beard

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1851860829
  Medicare reassignment Care Compare group NPD
• Linda Hart

  • Professional Counselor
  • Redding, CA
  • NPI 1255815502
  Medicare reassignment Care Compare group NPD
• Mosette Marie Knight, MA

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1508427832
  Medicare reassignment Care Compare group NPD
• Keith Dean Manner, M.S.

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1336380963
  Medicare reassignment Care Compare group NPD
• Heather Mauldin

  • Social Worker
  • Redding, CA
  • NPI 1588835458
  Medicare reassignment Care Compare group NPD
• Michelle Mercurio

  • Mental Health Counselor
  • Redding, CA
  • NPI 1578790994
  Medicare reassignment Care Compare group NPD
• Daniella Cherise Pavone, MA, LMFT

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1417627290
  Medicare reassignment Care Compare group NPD
• Jody Y Rowland

  • Clinical Social Worker
  • Redding, CA
  • NPI 1326230897
  Medicare reassignment Care Compare group NPD
• Kelly Jean Smith

  • Psychologist
  • Redding, CA
  • NPI 1700192481
  Medicare reassignment Care Compare group NPD
• Leyla Smith, MFT

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1063999282
  Medicare reassignment Care Compare group NPD
• Shannon Diane Stewart, LMFT

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1851676159
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1194750547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491750",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960491750",
            "telephone_number": "530-722-9957",
            "fax_number": "530-722-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 INDUSTRIAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020734",
            "telephone_number": "530-722-9957",
            "fax_number": "530-722-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 Pine St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012690",
            "country_code": "US",
            "telephone_number": "530-722-9957",
            "fax_number": "530-722-9294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREEKSIDE COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-722-9957"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "38104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Cramer, MD
• Justine Rae Crassweller
• Lori Elizabeth Cravens
• Randall Cravens, SUDRC # 17024
• Gary Ward Crawford, MD
• Cresswell Physical Therapy and Hand Rehabilitation Inc
• Suzanne Mary Cresswell, PT, OT, CHT
• Crestwood Behavioral Health, Inc. (Elpida Recovery Center)
• Crestwood Behavioral Health,Inc. (Crestwood Wellness and Recovery Center)
• Crisis Pregnancy Center of Northern California (CareNet Pregnancy Center & Medical Clinic)

• Marriage & Family Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.