Organization Active NPI

DVP Counseling and Behavioral Services , LLC

  • Community/Behavioral Health Agency
  • Crown Point, IN
National Provider Identifier
1891482485
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 24, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300059112MedicaidIN

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.