Active NPI
Insightful Play Therapy
- Social Worker
- Casper, WY
National Provider Identifier
1619669215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- INSIGHTFUL PLAY THERAPY
- Practice address
- 5830 E 2ND St Ste 7000
Casper, WY 82609-4308 - Phone
- (201) 725-5603
- NPI assigned
- May 22, 2023
- 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
- Tamika Stewart, LMSW
- Title
- Chief Executive Officer
- Phone
- (347) 392-0729
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| School Counselor | 101YS0200X | |||
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
5830 E 2ND St Ste 7000
Casper, WY 82609-4308
Mailing address
566 Powell St
Brooklyn, NY 11212-7034
Phone (347) 392-0729
Other names 1
- INSIGHTFUL PLAY THERAPY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1770955619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1619669215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 POWELL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127034",
"telephone_number": "347-392-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 E 2ND ST STE 7000",
"city": "CASPER",
"state": "WY",
"postal_code": "826094308",
"telephone_number": "201-725-5603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHTFUL PLAY THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "TAMIKA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "347-392-0729",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "INSIGHTFUL PLAY THERAPY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.