Creekside Counseling
NPI 1063574226ActiveOrganization· Counselor, Mental Health· Idaho Falls, ID
Counselor, Mental Health in Idaho Falls, Idaho, registered in NPPES in December 2006. The authorized official on file is Janet O. Allen, ED.D, LCPC, Clinical Director.
Overview
| NPI | 1063574226 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2006 |
| Last updated in NPPES | Oct 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | NP1094A | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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