| Creekside Counseling Center Inc | |
|
1170 Industrial St Redding CA 96002-0734 | |
| (530) 722-9957 | |
| (530) 722-9294 |
| Full Name | Creekside Counseling Center Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1170 Industrial St, Redding, California |
| Authorized Official Name and Position | Kristin Kirk (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5307229957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Counseling Center Inc Po Box 491750 Redding CA 96049-1750 Ph: (530) 722-9957 | Creekside Counseling Center Inc 1170 Industrial St Redding CA 96002-0734 Ph: (530) 722-9957 |
| NPI Number | 1194750547 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 1557683315 |
|---|---|
| Medicare Enrollment ID | O20141204002317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194750547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 38104 (California) | Primary |
| Provider Name | Bonnie Brower Simonetta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275891624 PECOS PAC ID: 5193988657 Enrollment ID: I20120519000125 |
| Provider Name | Leslie L Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124177076 PECOS PAC ID: 4981869534 Enrollment ID: I20120703000622 |
| Provider Name | Karl Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124162102 PECOS PAC ID: 3870815269 Enrollment ID: I20141215001720 |
| Provider Name | Heather Mauldin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588835458 PECOS PAC ID: 9335404342 Enrollment ID: I20180522002261 |
| Provider Name | Kelly Jean Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700192481 PECOS PAC ID: 1153673496 Enrollment ID: I20181015001237 |
| Provider Name | Keith James Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972764660 PECOS PAC ID: 5698029361 Enrollment ID: I20181115001218 |
| Provider Name | Misty L Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134358211 PECOS PAC ID: 0749608834 Enrollment ID: I20200922003167 |
| Provider Name | Michelle Mercurio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578790994 PECOS PAC ID: 4284054511 Enrollment ID: I20201026001571 |
| Provider Name | Jessica L Hermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821573049 PECOS PAC ID: 1153738521 Enrollment ID: I20210331001737 |
| Provider Name | Jody Y Rowland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326230897 PECOS PAC ID: 1759789753 Enrollment ID: I20211005003371 |
| Provider Name | Dana R Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477118131 PECOS PAC ID: 7618361080 Enrollment ID: I20220301000398 |
| Provider Name | Katie E Ghelfi-dunbar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790304715 PECOS PAC ID: 9638539612 Enrollment ID: I20230721003278 |
| Provider Name | Ronald Cummings |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063875060 PECOS PAC ID: 9436509635 Enrollment ID: I20240102000044 |
| Provider Name | Robert M Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164892493 PECOS PAC ID: 0143670299 Enrollment ID: I20240102001907 |
| Provider Name | Daniella Cherise Pavone |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417627290 PECOS PAC ID: 5294186227 Enrollment ID: I20240103004782 |
| Provider Name | Mosette Marie Knight |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508427832 PECOS PAC ID: 9335590280 Enrollment ID: I20240104004635 |
| Provider Name | Cory Beard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851860829 PECOS PAC ID: 2860843729 Enrollment ID: I20240104004765 |
| Provider Name | Keith Dean Manner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336380963 PECOS PAC ID: 5193047959 Enrollment ID: I20240111002367 |
| Provider Name | Connie Turnipseed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457787392 PECOS PAC ID: 1850742008 Enrollment ID: I20240111003937 |
| Provider Name | Leyla Jolivette |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063999282 PECOS PAC ID: 4385096478 Enrollment ID: I20240112004161 |
| Provider Name | Jillian Lee Tyson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912542903 PECOS PAC ID: 9830541861 Enrollment ID: I20240116001216 |
| Provider Name | Erin Stidham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669844767 PECOS PAC ID: 6709238454 Enrollment ID: I20240117004677 |
| Provider Name | Shannon D Stewart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851676159 PECOS PAC ID: 9638521222 Enrollment ID: I20240118004725 |
Redding Rehab Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3580 Santa Rosa Way, Redding, CA 96003 Phone: 310-343-8684 | |
Hhsa Children's Services, Mh, 1411 Yuba St Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Yuba St, Redding, CA 96001 Phone: 530-225-5200 | |
Native American Mental Health Services Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Washington Ave Ste 220, Redding, CA 96001 Phone: 530-722-4942 Fax: 530-262-6849 | |
Shasta County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620/1624 Market St, Redding, CA 96001 Phone: 530-245-6750 Fax: 530-225-5950 | |
Dunamis Center Incorporated Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1465 Victor Ave Ste B, Redding, CA 96003 Phone: 530-338-0087 Fax: 530-745-6053 | |
Happ E Life Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 Hilltop Dr Ste 102, Redding, CA 96002 Phone: 530-710-8551 | |
Shasta County Assisted Outpatient Treatment (aot) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Hilltop Dr, Suite 200 Rooms 1,2,3,4,5,6, Redding, CA 96003 Phone: 530-618-5630 Fax: 530-618-5635 |