NPIMap

Organization Active NPI

A New Direction Therapeutic and Educational Services

  • Mental Health Counselor
  • Trotwood, OH
National Provider Identifier
1255889309
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I.200311 Issued in OH
Legal business name
A NEW DIRECTION THERAPEUTIC AND EDUCATIONAL SERVICES
Practice address
3660 Mandalay Dr
Trotwood, OH 45416-1122
Phone
(937) 993-7109
NPI assigned
Sep 19, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Mrs. Tawnyell Nikko Culpepper, LISW-S,BCD,ACSW
Title
Clinical Therapist
Phone
(937) 993-7109

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I.200311 OH Primary
Clinical Social Worker 1041C0700X I.200311 OH

Addresses

Primary practice location

3660 Mandalay Dr
Trotwood, OH 45416-1122

Mailing address

PO Box 26101
Trotwood, OH 45426-0101
Phone (937) 993-7109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1255889309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26101",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454260101",
            "telephone_number": "937-993-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 MANDALAY DR",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454161122",
            "telephone_number": "937-993-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW DIRECTION THERAPEUTIC AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "CULPEPPER",
        "authorized_official_first_name": "TAWNYELL",
        "authorized_official_middle_name": "NIKKO",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "937-993-7109",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S,BCD,ACSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.200311",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.200311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trotwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.