Creekside Counseling & Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREEKSIDE COUNSELING & WELLNESS

Practice address

305 Ebenezer Rd
Knoxville, TN 37923-5310

Phone

(865) 325-9604

Fax

(865) 321-8390

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Bonnie Barclay, LCSWNPI 1083845408

Title

Owner, President

Phone

(865) 325-9604

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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

• Bonnie Barclay, LCSW

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1083845408
  Medicare reassignment NPD Authorized official
• Rebecca Henry, LCSW

  • Clinical Social Worker
  • Dandridge, TN
  • NPI 1457772840
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1912570185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HALIFAX RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221434",
            "telephone_number": "865-919-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 EBENEZER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235310",
            "telephone_number": "865-325-9604",
            "fax_number": "865-321-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "865-325-9604",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Eugene Creasey, ATC
• Kelly M Creasey, M.S., ATC
• Brooklyn Creech, NP
• Kristin Fields Creech, MS
• Creekside Counseling
• Creekside Dental P.C.
• Lauren Crehan, M.S., CF-SLP
• Aubrey Cremeans, NP
• Angela Cremins
• Brent Allen Crenshaw, MA

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.