Active NPI
Pine Creek Counseling
- Mental Health Counselor
- Driggs, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PINE CREEK COUNSELING
- Practice address
- 85 S Main St Ste 4
Driggs, ID 83422-9702 - Phone
- (512) 639-4454
- NPI assigned
- Mar 1, 2025
- Last updated
- Mar 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katelyn Webb, LCPC
- Title
- Owner
- Phone
- (512) 639-4454
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
85 S Main St Ste 4
Driggs, ID 83422-9702
Mailing address
1310 Buckskin Loop
Victor, ID 83455-1327
Phone (512) 639-4454
Other practice location 1
125 S King St
Jackson, WY 83001-8124
Phone (512) 639-4454
National Provider Directory
National Provider DirectoryLocations
85 S Main St
Ste 4
Driggs, ID 83422
Phone (307) 264-0840
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Jackson, WY
- NPI 1821686528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740787200000",
"number": "1366249906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 BUCKSKIN LOOP",
"city": "VICTOR",
"state": "ID",
"postal_code": "834551327",
"telephone_number": "512-639-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 S MAIN ST STE 4",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834229702",
"telephone_number": "512-639-4454"
}
],
"practiceLocations": [
{
"address_1": "125 S King St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "WY",
"postal_code": "830018124",
"country_code": "US",
"telephone_number": "512-639-4454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PINE CREEK COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-01",
"last_updated": "2025-03-01",
"certification_date": "2025-03-01",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "KATELYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-639-4454",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.