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CITY CREEK COUNSELING, LLC
NPI 1649756057
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pocatello, ID

Active since July 18, 2018
1219 YELLOWSTONE AVE STE D, POCATELLO, ID 83201(208) 339-0909(208) 339-0909 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About City Creek Counseling, Llc NPPES

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

CITY CREEK COUNSELING, LLC (NPI 1649756057) is a healthcare organization registered as a mental health (including community mental health center) in Pocatello, Idaho and active in the NPI registry since July 2018. The organization lists Tandice Chaelee Peterson, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1649756057
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCITY CREEK COUNSELING, LLC
Location Address1219 YELLOWSTONE AVE STE DPocatello, ID 83201-4368
Mailing Address1219 Yellowstone Ave Ste DPocatello, ID 83201-4368 · (208) 339-0909 · Fax (208) 339-0909
Phone(208) 339-0909
Fax(208) 339-0909
Organization SubpartNo
Authorized OfficialTandice Chaelee PetersonCo-owner · (208) 339-0909
Enumeration DateJuly 18, 2018
✔ NPI 1649756057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1219 YELLOWSTONE AVE STE D, Pocatello, ID 83201
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Other Providers at the Same Location NPPES

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

MCKENZIE DAWN CHRISTENSEN LCPC
Counselor (Professional)
1219 YELLOWSTONE AVE STE D
POCATELLO, ID 83201
Bannock County (208) 339-0909

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 City Creek Counseling, LLC's NPI number?

The NPI number for City Creek Counseling, LLC is 1649756057. It was assigned to this organization in the NPPES registry on July 18, 2018.

Where is City Creek Counseling, LLC located?

City Creek Counseling, LLC is located at 1219 Yellowstone Ave Ste D, Pocatello, ID 83201. The listed phone number is (208) 339-0909.

What is City Creek Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for City Creek Counseling, LLC was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.