Creekside Counseling, LTD.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREEKSIDE COUNSELING, LTD.

Practice address

1388 M 1/2 Rd
Loma, CO 81524-9728

Phone

(970) 250-6270

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Kymberly Owens, LCSW

Title

Owner

Phone

(970) 250-6270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1841998028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "LOMA",
            "state": "CO",
            "postal_code": "815240123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 M 1/2 RD",
            "city": "LOMA",
            "state": "CO",
            "postal_code": "815249728",
            "telephone_number": "970-250-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE COUNSELING, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "KYMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-250-6270",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Meredith Scott Boersma, CCC-SLP
• Christina Deann Burke, LCSW
• Melissa Delong, LMSW
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• Madison Paige Hollingworth
• Alexis Reanee Krepps, BSW

• Clinical Social Worker in Loma, CO
• Providers in Loma, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.