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CREEKSIDE COUNSELING & WELLNESS
NPI 1912570185
Social Worker - Clinical in Knoxville, TN

Active since July 23, 2021
305 EBENEZER RD, KNOXVILLE, TN 37923(865) 325-9604(865) 321-8390 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Creekside Counseling & Wellness NPPES

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

CREEKSIDE COUNSELING & WELLNESS (NPI 1912570185) is a healthcare organization registered as a clinical in Knoxville, Tennessee and active in the NPI registry since July 2021. The organization lists Bonnie Barclay, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1912570185
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCREEKSIDE COUNSELING & WELLNESS
Location Address305 EBENEZER RDKnoxville, TN 37923-5310
Mailing Address1225 Halifax RdKnoxville, TN 37922-1434 · (865) 919-2830
Phone(865) 325-9604
Fax(865) 321-8390
Organization SubpartNo
Authorized OfficialBonnie BarclayOwner, President · (865) 325-9604
Enumeration DateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
✔ NPI 1912570185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
305 EBENEZER RD, Knoxville, TN 37923
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creekside Counseling & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20211103001482Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Creekside Counseling & Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bonnie Barclay, LCSW
Clinical Social Worker
NPI 1083845408
201 N WEISGARBER RD
Knoxville, TN 37919
(865) 584-8501
✔ PECOS4.4 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 Creekside Counseling & Wellness's NPI number?

The NPI number for Creekside Counseling & Wellness is 1912570185. It was assigned to this organization in the NPPES registry on July 23, 2021.

Where is Creekside Counseling & Wellness located?

Creekside Counseling & Wellness is located at 305 Ebenezer Rd, Knoxville, TN 37923. The listed phone number is (865) 325-9604.

What is Creekside Counseling & Wellness's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Creekside Counseling & Wellness enrolled in Medicare?

Yes. Creekside Counseling & Wellness is registered in the Medicare PECOS enrollment system.

When is Creekside Counseling & Wellness'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 (Tennessee, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Counseling & Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Creekside Counseling & Wellness. 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 Counseling & Wellness was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.