Organization Active NPI

Christina Stapleton, L.L.C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Wayne, IN
National Provider Identifier
1003205998
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
39002095A Issued in IN
Legal business name
CHRISTINA STAPLETON, L.L.C
Practice address
10315 Dawsons Creek Blvd # 12
Fort Wayne, IN 46825-1912
Phone
(260) 387-6340
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christina Nicole Stapleton, M.A.
Title
Counselor
Phone
(765) 243-9416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 39002095A IN Primary

Addresses

Primary practice location

10315 Dawsons Creek Blvd # 12
Fort Wayne, IN 46825-1912

Mailing address

10315 Dawsons Creek Blvd # 12
Fort Wayne, IN 46825-1912
Phone (260) 387-6340

National Provider Directory

National Provider Directory

Locations

10315 Dawsons Creek Blvd
#12
Fort Wayne, IN 46825
Phone (260) 387-6340

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1003205998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD # 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD # 12",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA STAPLETON, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "765-243-9416",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "39002095A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.