CREEKSIDE MENTAL HEALTH COUNSELING SERVICES, PLLC (NPI# 1548588007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548588007 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE MENTAL HEALTH COUNSELING SERVICES, PLLC |
| Other Organization Name | CREEKSIDE COUNSELING SERVICES |
| Practice Address |
335 W 1st St Oswego NY 13126-3655 |
| Mailing Address |
7113 State Route 104 Oswego NY 13126-6027 |
| Practice Telephone | 3153433344 |
| Mailing Telephone | 3153433344 |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2010-05-08 |
| Authorized Official Name | MRS. JODY JOANNE FIORINI (PRESIDENT) |
| Authorized Official Telephone | 3153433344 |
| Authorized Official Credential | PHD, LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| CreekSide Counseling Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CREEKSIDE MENTAL HEALTH COUNSELING SERVICES, PLLC | 146l Arsenal Street Suite 10a, Watertown, Ny 13601 |
| Street Address |
335 W 1ST ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090641 | Kara L Stoffel | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2017-08-29 |
| 1386181501 | Mariya Pawlikowski | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2017-01-25 |
| 1326413857 | Alison Cramer | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2015-12-09 |
| 1033588678 | Matthew Kelly | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2015-09-24 |
| 1689043374 | Karen Crisafulli | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2015-09-23 |
| 1750758397 | Jessica S Brusgul | Counselor | 335 W 1st St, Oswego, NY 13126-3689 | 2015-08-31 |
| 1497144307 | Kyle Brady Mosack | Counselor | 335 W 1st St, Oswego, NY 13126-3655 | 2015-01-15 |
| 1194138404 | Elizabeth Tiffany | Counselor | 335 W 1st St, Oswego, NY 13126-1704 | 2014-06-04 |
| 1073926556 | Creekside Counseling Services | Clinic/Center | 335 W 1st St, Oswego, NY 13126-3655 | 2014-06-03 |
| 1184048555 | Alexandra Marie Lang | Counselor | 335 W 1st St, Oswego, NY 13126-3655 | 2014-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629516935 | Mindset Counseling | Community/Behavioral Health | 123 W. Washington Street, Suite 325, Oswego, IL 60543-8254 | 2017-02-07 |
| 1144683020 | Association for Individual Development | Community/Behavioral Health | 3370 White Oak Dr, Oswego, IL 60543-7158 | 2016-03-30 |
| 1912373069 | Oswego Wellness, Inc | Community/Behavioral Health | 67 S Main Street, Suite 2a, Oswego, IL 60543-8622 | 2015-08-12 |
| 1760842579 | Association for Individual Development | Community/Behavioral Health | 3350 White Oak Dr, Oswego, IL 60543-7123 | 2016-03-07 |
| 1598135592 | Oswego Health Behavioral Services | Community/Behavioral Health | 74 Bunner St, Oswego, NY 13126-3357 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538152 | Monette Counseling Services LLC | Community/Behavioral Health | 159 Margaret St Ste 225, Plattsburgh, NY 12901-1874 | 2020-11-06 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1407462948 | Shawn Muthersbaugh Lcsw Pllc | Community/Behavioral Health | 120 Defreest Dr Ste 175, Troy, NY 12180-7608 | 2020-09-21 |
| 1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
| 1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
| 1831701630 | Debra L. Terry Lcsw, P.C. | Community/Behavioral Health | 4 Phyllis Dr Ste G, Patchogue, NY 11772-2900 | 2020-08-21 |
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1598383796 | Chemung-schuyler Counties Chapter, Nysarc, Inc. | Community/Behavioral Health | 5297 Parkside Dr Ste 304, Canandaigua, NY 14424-7504 | 2020-07-14 |
| 1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
| 1043836943 | Cornerstone Behavioral Services, LLC. | Community/Behavioral Health | 3670 Orchard Rd, Wantagh, NY 11793-3131 | 2020-06-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.