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Cress Creek Counseling, PLLC

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Company Details

Name: Cress Creek Counseling, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Nov 2022 (3 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4976024
Place of Formation: IDAHO
File Number: 848587
ZIP code: 83440
County: Madison County
Principal Address: 1807 W 5350 S REXBURG, ID 83440
Mailing Address: 1807 W 5350 S REXBURG, ID 83440-4415

Agent

Name Role Address
Trevor Nelson Agent 1807 W 5350 S, REXBURG, ID 83440-4415

Manager

Name Role Address Appointed On
Lisa Kristine Nelson Manager 1807 W 5350 S, REXBURG, ID 83440 2023-10-25
Trevor James Nelson Manager 1807 W 5350 S, REXBURG, ID 83440 2023-10-25

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
NGZJZCL3CAK5
UEI Expiration Date:
2026-01-28

Business Information

Division Name:
CRESS CREEK COUNSELING
Activation Date:
2025-01-30
Initial Registration Date:
2025-01-28

National Provider Identifier

NPI Number:
1376251835
Certification Date:
2024-02-05

Authorized Person:

Name:
MRS. LISA K NELSON
Role:
OFFICE MANAGER/BILLER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2086565668

Filing

Filing Name Filing Number Filing date
Annual Report 0005959180 2024-11-03
Annual Report 0005448856 2023-10-25
Initial Filing 0004976024 2022-11-04

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State