Creekside Counseling Center, LLC
NPI 1518192608ActiveOrganization· Counselor, Mental Health· Canfield, OH
Counselor, Mental Health in Canfield, Ohio, registered in NPPES in May 2009. The authorized official on file is Thomas Richard Kupec, PSY.D, LPCC, Director/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518192608 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2009 |
| Last updated in NPPES | Feb 13, 2023 |
| Certified by provider | Feb 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Mental Health | 101YM0800X | E-0003444-SUPV | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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