Cross Creek Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CROSS CREEK COUNSELING LLC

Practice address

1047 S Wells St
Meridian, ID 83642-7997

Phone

(208) 863-0045

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Tanya M Goodrich, LMFT

Title

Owner

Phone

(208) 863-0045

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1295512929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 S WELLS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 S WELLS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427997",
            "telephone_number": "208-863-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-863-0045",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Michele Critchlow, LCSW
• Rebecca Suzanne Croft
• Kelton Cronquist, DMD, MS
• Katelyn Crosby
• McKailey Crosby
• Karen L. Cross, FNP, MSN
• Natalie Crossley
• Alan B. Crothers, PT
• Robin Renee Crowe, LMSW
• Anne Crowl, PA

• Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.