Active NPI
Christina Stapleton, L.L.C
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Wayne, IN
National Provider Identifier
1003205998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 39002095A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.