Active NPI
Christina Nicole Stapleton, MA
- Mental Health Counselor
- Fort Wayne, IN
National Provider Identifier
1790874774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3948 New Vision Dr Ste D
Fort Wayne, IN 46845-1721 - Phone
- (260) 407-7285
- Fax
- (260) 407-0094
- NPI assigned
- Oct 11, 2006
- Last updated
- Feb 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
3948 New Vision Dr Ste D
Fort Wayne, IN 46845-1721
Mailing address
3948 New Vision Dr Ste D
Fort Wayne, IN 46845-1721
Phone (260) 387-6340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200530260A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Vision Counseling and Psychological Services, PC | Past | Accepting new patients | |
| Cornerstone Counseling & Consulting, P.C, | Past | Accepting new patients |
Interoperability endpoints
- christinastapleton@tdh.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Wayne, IN
- NPI 1003205998
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
- Counseling Psychologist
- Fort Wayne, IN
- NPI 1801067012
-
- Psychologist
- Fort Wayne, IN
- NPI 1609059146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1790874774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3948 NEW VISION DR STE D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451721",
"telephone_number": "260-387-6340",
"fax_number": "260-387-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 NEW VISION DR STE D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451721",
"telephone_number": "260-407-7285",
"fax_number": "260-407-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLETON",
"first_name": "CHRISTINA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200530260A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.