In Time Creative Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IN TIME CREATIVE COUNSELING SERVICES LLC

Practice address

619 Cherry St
Terre Haute, IN 47807-3125

Phone

(812) 382-5512

Fax

(812) 244-2762

NPI assigned

Sep 3, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa White, LMHC, NCC, CCMHCNPI 1508282815

Title

Ceo

Phone

(812) 208-3175

Specialties & licenses 2

Addresses

Practitioners 1

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

• Theresa White, LMHC, NCC, CCMHC, DT

  • Mental Health Counselor
  • Terre Haute, IN
  • NPI 1508282815
  NPD Authorized official

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1770065153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 S. US HWY 41",
            "address_2": "PMB 227",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024790",
            "telephone_number": "812-382-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 CHERRY ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073125",
            "telephone_number": "812-382-5512",
            "fax_number": "812-244-2762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5105 US Hwy 41",
            "address_2": "PMB 227",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "47802",
            "country_code": "US",
            "telephone_number": "812-382-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN TIME CREATIVE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-208-3175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, NCC, CCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IN",
            "license": "390002582A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.