Active NPI
DVP Counseling and Behavioral Services , LLC
- Community/Behavioral Health Agency
- Crown Point, IN
National Provider Identifier
1891482485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DVP COUNSELING AND BEHAVIORAL SERVICES , LLC
- Practice address
- 9370 Tyler St
Crown Point, IN 46307-2275 - Phone
- (219) 730-6582
- NPI assigned
- Apr 24, 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
- Miss Elivia Mae Pittman, MS,MSW,LSW
- Title
- Owner
- Phone
- (219) 661-2602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9370 Tyler St
Crown Point, IN 46307-2275
Mailing address
9370 Tyler St
Crown Point, IN 46307-2275
Phone (219) 730-6582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300059112 | Medicaid | IN |
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.
-
- Clinical Social Worker
- Crown Point, IN
- NPI 1255782017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1891482485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9370 TYLER ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463072275",
"telephone_number": "219-730-6582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9370 TYLER ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463072275",
"telephone_number": "219-730-6582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DVP COUNSELING AND BEHAVIORAL SERVICES , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-23",
"status": "A",
"authorized_official_last_name": "PITTMAN",
"authorized_official_first_name": "ELIVIA",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-661-2602",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MS,MSW,LSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300059112",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.