CREEKSIDE THERAPEUTICS
NPI 1902593015
Counselor - Professional in Lynchburg, VA
About Creekside Therapeutics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREEKSIDE THERAPEUTICS (NPI 1902593015) is a healthcare organization registered as a professional in Lynchburg, Virginia and active in the NPI registry since April 2023. The organization lists Jessica Coleman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Creekside Therapeutics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Creekside Therapeutics, 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 Therapeutics's NPI number?
The NPI number for Creekside Therapeutics is 1902593015. It was assigned to this organization in the NPPES registry on April 19, 2023.
Where is Creekside Therapeutics located?
Creekside Therapeutics is located at 137 Laxton Rd Ste 200, Lynchburg, VA 24502. The listed phone number is (434) 515-2041.
What is Creekside Therapeutics's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Creekside Therapeutics enrolled in Medicare?
Yes. Creekside Therapeutics is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Creekside Therapeutics?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Creekside Therapeutics. 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 Therapeutics was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Therapeutics · NPI 1902593015
Professional organization in Lynchburg, Virginia. Organization record, active in the CMS NPPES registry since April 19, 2023.
## Identity
- **NPI:** 1902593015 (Entity type: Organization)
- **Enumerated:** April 19, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Jessica Coleman, OWNER
## Practice location
- **Address:** 137 LAXTON RD STE 200, Lynchburg, VA 24502-5294
- **Phone:** (434) 515-2041
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2024
- **Other identifiers:** Medicaid 30017547490002 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902593015) · Data from the CMS NPPES public registry.