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INDIAN CREEK FOUNDATION
NPI 1023163854
Community/Behavioral Health in Souderton, PA

Active since January 24, 2007CLIA 39D0910172 · Waiver
420 COWPATH RD, SOUDERTON, PA 18964(267) 203-1500(267) 203-1510 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 31, 2025, Mar 26, 2025 (2 updates tracked since 2025).

About Indian Creek Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN CREEK FOUNDATION (NPI 1023163854) is a healthcare organization registered as a community/behavioral health in Souderton, Pennsylvania and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists B. Timothy Barksdale, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023163854
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINDIAN CREEK FOUNDATION
Location Address420 COWPATH RDSouderton, PA 18964-2036
Mailing Address420 Cowpath RdSouderton, PA 18964-2036 · (267) 203-1500 · Fax (267) 203-1510
Phone(267) 203-1500
Fax(267) 203-1510
Organization SubpartNo
Authorized OfficialB. Timothy BarksdaleChief Executive Officer · (267) 203-1500
Enumeration DateJanuary 24, 2007
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1023163854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Licenses✔ Licensed in PA · 105070✔ Licensed in PA · 105080✔ Licensed in PA · 188770✔ Licensed in PA · 1476426✔ Licensed in PA · 138590
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X · License 505630 (PA), 509140 (PA), 535040 (PA), 535030 (PA), 505620 (PA), 509100 (PA), 509120 (PA), 509170 (PA)
420 COWPATH RD, Souderton, PA 18964
Open in Google Maps ↗

Other Identifiers 2

Medicaid100000818PA
Other23122000PA · Magellan Behavioral Healt

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0910172

Indian Creek Foundation · Souderton, PA
Active · expires Sep 29, 2027
CLIA Number39D0910172
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDean Stoesz
Laboratory Phone(267) 203-1500
Laboratory LocationIndian Creek Foundation420 Cowpath Road, Souderton, PA 18964
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHARON SWARTLEY LPN
Licensed Practical Nurse
420 COWPATH RD
SOUDERTON, PA 18964
Montgomery County (267) 203-1500
MS. NICOLE MARIE PUBLICK LSW
Social Worker
420 COWPATH RD
SOUDERTON, PA 18964
Montgomery County (267) 203-1500
MRS. LORRAINE HARTL RN
Registered Nurse
420 COWPATH RD
SOUDERTON, PA 18964
Montgomery County (267) 203-1500
ALLISON FAYE DLUZNESKI
Counselor
420 COWPATH RD
SOUDERTON, PA 18964
Montgomery County (267) 203-1500
HEATHER ELIZABETH NUNAN MS, BC
Counselor
420 COWPATH RD
SOUDERTON, PA 18964
Montgomery County (267) 203-1500
LISA MCGUIRE
Counselor
420 COWPATH RD
SOUDERTON, PA 18964
Montgomery County (267) 203-1500
ROBIN IDE
Counselor
420 COWPATH RD
SOUDERTON, PA 18964
Montgomery County (267) 203-1500
EMILY DEPAUL MPH, MA, LPC
Counselor (Professional)
420 COWPATH RD
SOUDERTON, PA 18964
Montgomery County (267) 203-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indian Creek Foundation's NPI number?

The NPI number for Indian Creek Foundation is 1023163854. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Indian Creek Foundation located?

Indian Creek Foundation is located at 420 Cowpath Rd, Souderton, PA 18964. The listed phone number is (267) 203-1500.

What is Indian Creek Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Indian Creek Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0910172) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Indian Creek Foundation was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.