Tinker Creek Creative Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TINKER CREEK CREATIVE COUNSELING, LLC

Practice address

8245 Williamson Rd
Roanoke, VA 24019-6951

Phone

(540) 293-7601

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Christin Vaughn, LPC

Title

Owner/LPC

Phone

(540) 293-7601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

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

• Christina Vaughn

  • Professional Counselor
  • Roanoke, VA
  • NPI 1336503804
  Medicare reassignment NPD
• Malia C Huffman, MA

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1780434530
  NPD
• Johnna Wilson

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1467228858
  NPD
• Christina Dawn Dormstetter-O'Keefe, LPC

  • Professional Counselor
  • Roanoke, VA
  • NPI 1174595888
  NPD (past)
• Kimberly G Garland, LPC

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1487275111
  NPD (past)
• Nora Victoria Tate, LPC

  • Counselor
  • Chesapeake, VA
  • NPI 1053559831
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1710498209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 MEADOW CROSSING LN NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240195874",
            "telephone_number": "540-293-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196951",
            "telephone_number": "540-293-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINKER CREEK CREATIVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "540-293-7601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Vita Tillotson, D.O.
• Clinton Timmerman
• Paul C Timmermann, M.D.
• Joseph Stuart Tims, M.D.
• William Tingler II, M.D.
• Zach C Tinsley
• Paige Danielle Titak
• Rebin Thomas Titus, M.D.
• TLC VC, LLC
• Hosai N Todd Hesham, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.