NPIMap

Organization Active NPI

Pink Elephant Therapy

  • Community/Behavioral Health Agency
  • El Dorado, AR
National Provider Identifier
1669145694
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PINK ELEPHANT THERAPY
Practice address
203 W Main St Ste K
El Dorado, AR 71730-5604
Phone
(870) 866-4653
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Connie Delora Taute, LPC, AADC, LADACNPI 1801365937
Title
Owner
Phone
(870) 866-4653

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

203 W Main St Ste K
El Dorado, AR 71730-5604

Mailing address

203 W. Main St.
Suite K
El Dorado, AR 71730
Phone (870) 866-4653

National Provider Directory

National Provider Directory

Locations

203 W Main St
Ste K
El Dorado, AR 71730
Phone (870) 866-4653

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": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1669145694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W. MAIN ST.",
            "address_2": "SUITE K",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-866-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST STE K",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305604",
            "telephone_number": "870-866-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK ELEPHANT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "TAUTE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "DELORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-866-4653",
        "authorized_official_credential": "LPC, AADC, LADAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.