Organization Active NPI

Creekside Counseling LLC

  • Psychiatry Physician
  • The Woodlands, TX
National Provider Identifier
1952057242
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CREEKSIDE COUNSELING LLC
Practice address
26400 Kuykendahl Rd Ste C180-239
The Woodlands, TX 77375-2882
Phone
(281) 849-9691
Fax
(281) 849-3870
NPI assigned
Feb 24, 2022
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Dave James
Title
Owner
Phone
(907) 250-9917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

26400 Kuykendahl Rd Ste C180-239
The Woodlands, TX 77375-2882

Mailing address

26400 Kuykendahl Rd Ste C180-239
The Woodlands, TX 77375-2882
Phone (281) 849-9691

Other names 1

  • Creekside Counseling Other name

National Provider Directory

National Provider Directory

Locations

26400 Kuykendahl Rd
Ste C180239
The Woodlands, TX 77375
Phone (281) 849-9691

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": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1952057242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 KUYKENDAHL RD STE C180-239",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773752882",
            "telephone_number": "281-849-9691",
            "fax_number": "281-849-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 KUYKENDAHL RD STE C180-239",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773752882",
            "telephone_number": "281-849-9691",
            "fax_number": "281-849-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-250-9917"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.