Cedar Creek Counseling Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19936 Issued in TX

Legal business name

CEDAR CREEK COUNSELING SERVICES, PLLC

Practice address

233 N 13TH St
Abilene, TX 79601-3101

Phone

(325) 672-6009

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Kurt Boyland, LMFT, LPC

Title

Manager

Phone

(325) 672-6009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1669702528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N 13TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N 13TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013101",
            "telephone_number": "325-672-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "BOYLAND",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "325-672-6009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196655801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dacia Arielle Castro
• Taylor Marie Caswell
• Sharon Kay Cates, NP-C
• Denisha Ann Monique Cavazos
• Clinton Peter Cavuoti Jr., M.D.
• Kayla Jo Cervantes
• Amala Chacko, MD
• Ashlee Chacon, LPC
• Chad D. Ezzell, M.D., PA
• Ron Chaffee, RPH

• Professional Counselor in Abilene, TX
• Providers in Abilene, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.