NPIMap

Organization Active NPI

Creekwood Counseling

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1902343767
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63800 Issued in TX
Legal business name
CREEKWOOD COUNSELING
Practice address
6750 Hillcrest Plaza Dr
304
Dallas, TX 75230-1400
Phone
(469) 323-8769
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Jennifer Dickerson, M.A.NPI 1396010765
Title
LPC
Phone
(469) 323-8769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 63800 TX Primary

Addresses

Primary practice location

6750 Hillcrest Plaza Dr
304
Dallas, TX 75230-1400

Mailing address

6750 Hillcrest Plaza Dr
304
Dallas, TX 75230-1400
Phone (469) 323-8769

National Provider Directory

National Provider Directory

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": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1902343767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 HILLCREST PLAZA DR",
            "address_2": "304",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301400",
            "telephone_number": "469-323-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 HILLCREST PLAZA DR",
            "address_2": "304",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301400",
            "telephone_number": "469-323-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKWOOD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "469-323-8769",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.