Organization Active NPI

Creative Interventions Counseling, Inc

  • Clinical Psychologist
  • Valparaiso, IN
National Provider Identifier
1275840886
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042274A Issued in IN
Legal business name
CREATIVE INTERVENTIONS COUNSELING, INC
Practice address
8 Morgan Blvd
Valparaiso, IN 46383-4836
Phone
(219) 689-7632
Fax
(219) 462-4741
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Dr. Tiffany D Simpson, PSYDNPI 1821119876
Title
President
Phone
(219) 689-7632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 20042274A IN Primary

Addresses

Primary practice location

8 Morgan Blvd
Valparaiso, IN 46383-4836

Mailing address

8 Morgan Blvd
Valparaiso, IN 46383-4836
Phone (219) 689-7632

National Provider Directory

National Provider Directory

Locations

8 Morgan Blvd
Valparaiso, IN 46383
Phone (219) 464-9495

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1275840886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MORGAN BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834836",
            "telephone_number": "219-689-7632",
            "fax_number": "219-462-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MORGAN BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834836",
            "telephone_number": "219-689-7632",
            "fax_number": "219-462-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE INTERVENTIONS COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-689-7632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042274A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.