Creekside Therapeutics
NPI 1902593015ActiveOrganization· Counselor, Professional· Lynchburg, VA
Counselor, Professional in Lynchburg, Virginia, registered in NPPES in April 2023. The authorized official on file is Jessica Coleman, LPC, BCBA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902593015 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2023 |
| Last updated in NPPES | Aug 14, 2024 |
| Certified by provider | Aug 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Behavior Analyst | 103K00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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