Nzinga Mind and Heart

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NZINGA MIND AND HEART

Practice address

5 Washington St Ste 300
Valparaiso, IN 46383-4769

Phone

(866) 220-0238

Fax

(866) 220-0238

NPI assigned

Dec 1, 2021

Last updated

Jan 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevaughn Davis-NealNPI 1003228826

Title

LCSW, Owner

Phone

(708) 715-6793

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevaughn Davis-Neal, LCSW

  • Clinical Social Worker
  • Crown Point, IN
  • NPI 1003228826
  Authorized official Same address or phone

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1073271615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S EAST ST UNIT 627",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463083450",
            "telephone_number": "866-220-0238",
            "fax_number": "866-220-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST STE 300",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834769",
            "telephone_number": "866-220-0238",
            "fax_number": "866-220-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NZINGA MIND AND HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS-NEAL",
        "authorized_official_first_name": "TREVAUGHN",
        "authorized_official_title_or_position": "LCSW, OWNER",
        "authorized_official_telephone_number": "708-715-6793"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.