Organization Active NPI

Creekside Counseling of Westover Hills PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1649637034
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66100 Issued in TX
Legal business name
CREEKSIDE COUNSELING OF WESTOVER HILLS PLLC
Practice address
9258 Culebra Rd
Suite 113
San Antonio, TX 78251-2871
Phone
(210) 503-9631
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Serena A Watts-Kumar, LPCNPI 1912280272
Title
Owner
Phone
(210) 503-9631

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 66100 TX Primary

Addresses

Primary practice location

9258 Culebra Rd
Suite 113
San Antonio, TX 78251-2871

Mailing address

9258 Culebra Rd
Suite 113
San Antonio, TX 78251-2871
Phone (210) 503-9631

National Provider Directory

National Provider Directory

Locations

9258 Culebra Rd
Ste 113
San Antonio, TX 78251
Phone (210) 503-9631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1649637034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 CULEBRA RD",
            "address_2": "SUITE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512871",
            "telephone_number": "210-503-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9258 CULEBRA RD",
            "address_2": "SUITE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512871",
            "telephone_number": "210-503-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE COUNSELING OF WESTOVER HILLS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "WATTS-KUMAR",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-503-9631",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.