Organization Active NPI

Pine Creek Counseling

  • Mental Health Counselor
  • Driggs, ID
National Provider Identifier
1366249906
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Authorized official

Name
Katelyn Webb, LCPCNPI 1821686528
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.