MOUNTAIN CREEK COUNSELING, LLC
NPI 1124716493
Counselor - Mental Health in Russellville, AR

Active since April 25, 2023
1110 W B ST STE H, RUSSELLVILLE, AR 72801(479) 733-8118 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mountain Creek Counseling, Llc NPPES

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

MOUNTAIN CREEK COUNSELING, LLC (NPI 1124716493) is a healthcare organization registered as a mental health in Russellville, Arkansas and active in the NPI registry since April 2023. The organization lists Cory Parsons, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1124716493
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMOUNTAIN CREEK COUNSELING, LLC
Location Address1110 W B ST STE HRussellville, AR 72801-3506
Mailing Address1242 Riverside RdDelaware, AR 72835-7009 · (479) 477-4140
Organization SubpartNo
Authorized OfficialCory ParsonsOwner/therapist · (479) 733-8118
Enumeration DateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1124716493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1110 W B ST STE H, Russellville, AR 72801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Creek Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mountain Creek Counseling, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1902352115
1310 W MAIN ST STE 101
Russellville, AR 72801
(479) 968-2001
✔ PECOS1.3 mi
Mental Health Counselor
NPI 1912156928
706 N BROWN ST
Clarksville, AR 72830
(501) 315-3344
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mountain Creek Counseling, LLC's NPI number?

The NPI number for Mountain Creek Counseling, LLC is 1124716493. It was assigned to this organization in the NPPES registry on April 25, 2023.

Where is Mountain Creek Counseling, LLC located?

Mountain Creek Counseling, LLC is located at 1110 W B St Ste H, Russellville, AR 72801. The listed phone number is (479) 733-8118.

What is Mountain Creek Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mountain Creek Counseling, LLC enrolled in Medicare?

Yes. Mountain Creek Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Creek Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Mountain Creek Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mountain Creek Counseling, LLC was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.