CREEKSIDE COUNSELING NPI 1063574226

NPI Information

  • NPI: 1063574226
  • Provider Name: CREEKSIDE COUNSELING
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 550 W SUNNYSIDE RD STE 1
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 529-5777

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NPI Details

CREEKSIDE COUNSELING is a mental health counselor in Idaho Falls, ID. CREEKSIDE COUNSELING NPI is 1063574226. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

550 W SUNNYSIDE RD STE 1
IDAHO FALLS, ID
ZIP 83402-619
Phone: (208) 529-5777
Fax: (208) 529-5778

The provider's authorized official is Janet O. Allen .
The authorized official title is Clinical Director and has the following contact phone number (208) 529-5777.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 10/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNP1094AIDAHONo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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