CREEKSIDE PSYCHIATRIC CENTER PA
NPI 1225330897
Counselor - Mental Health in Pensacola, FL
About Creekside Psychiatric Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREEKSIDE PSYCHIATRIC CENTER PA (NPI 1225330897) is a healthcare organization registered as a mental health in Pensacola, Florida and active in the NPI registry since December 2010. The organization lists Lisa Ann Weekley, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Creekside Psychiatric Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Creekside Psychiatric Center PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Creekside Psychiatric Center PA's NPI number?
The NPI number for Creekside Psychiatric Center PA is 1225330897. It was assigned to this organization in the NPPES registry on December 2, 2010.
Where is Creekside Psychiatric Center PA located?
Creekside Psychiatric Center PA is located at 5190 Bayou Blvd Ste 6, Pensacola, FL 32503. The listed phone number is (850) 476-0977.
What is Creekside Psychiatric Center PA's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Creekside Psychiatric Center PA enrolled in Medicare?
Yes. Creekside Psychiatric Center PA is registered in the Medicare PECOS enrollment system.
When is Creekside Psychiatric Center PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Creekside Psychiatric Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Creekside Psychiatric Center PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Creekside Psychiatric Center PA was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Creekside Psychiatric Center Pa · NPI 1225330897
Mental Health organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since December 2, 2010.
## Identity
- **NPI:** 1225330897 (Entity type: Organization)
- **Enumerated:** December 2, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Lisa Weekley, OFFICE MANAGER
## Practice location
- **Address:** 5190 BAYOU BLVD STE 6, Pensacola, FL 32503-2162
- **Phone:** (850) 476-0977 · **Fax:** (850) 476-2558
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1225330897) · Data from the CMS NPPES public registry.