Trinity Faith-Based University

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

20041768A Issued in IN

Legal business name

TRINITY FAITH-BASED UNIVERSITY

Practice address

839 Broadway
Suite 104
Gary, IN 46402-2414

Phone

(219) 882-4010

Fax

(219) 882-0210

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Darcelmarie Smith, MS,CADC, MISANPI 1598196628

Title

President

Phone

(219) 882-4010

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darcelmarie Smith, MA,CADC,MISA

  • Mental Health Counselor
  • Gary, IN
  • NPI 1598196628
  NPD (past) Authorized official
• Lechristien Renee Box, MA

  • Mental Health Counselor
  • Gary, IN
  • NPI 1336516053
  NPD (past)
• Tanya Lynette Johnson, LCSW

  • Social Worker
  • Gary, IN
  • NPI 1043633142
  NPD (past)
• Kinya M Lucas-Brown, LCSW

  • Clinical Social Worker
  • Lansing, IL
  • NPI 1114327103
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1124436936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 BROADWAY",
            "address_2": "SUITE 104",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022414",
            "telephone_number": "219-882-4010",
            "fax_number": "219-882-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 BROADWAY",
            "address_2": "SUITE 104",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022414",
            "telephone_number": "219-882-4010",
            "fax_number": "219-882-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FAITH-BASED UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARCELMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-882-4010",
        "authorized_official_credential": "MS,CADC, MISA"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20041768A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Health Partners Inc (Medicine Shoppe)
• Sharon R Totten, NP
• Pamela V. Tran, M.D.
• Transport With Love LLC
• TRC - Indiana LLC (Comprehensive Renal Care Gary)
• Gabriella Trottier, M.S.
• True Hope Counseling LLC
• True Vine Social Services, LLC.
• Trusty Transit, LLC
• TSK Enterprise LLC

• Health Service Psychologist in Gary, IN
• Providers in Gary, IN by specialty
• Health Service Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.