TINKER CREEK CREATIVE COUNSELING, LLC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1710498209

TINKER CREEK CREATIVE COUNSELING, LLC is a healthcare provider. based in Roanoke, Virginia. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for TINKER CREEK CREATIVE COUNSELING, LLC is 1710498209

Main info

Organization
Name
TINKER CREEK CREATIVE COUNSELING, LLC
NPI
1710498209
Phone
(540) 293-7601
Address
4754 MEADOW CROSSING LN NE
Authorized Official
MRS. CHRISTIN VAUGHN OWNER/LPC LPC
Enumeration Date
24 October 2017
Last Update Date
15 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for TINKER CREEK CREATIVE COUNSELING, LLC

  • 4754, Meadow Crossing Lane Northeast, Monterey Hills, Roanoke, Roanoke (city), Virginia, 24019, United States

    ROANOKE, VA 240195874

    Phone: (540) 293-7601

    Type: Mailing

  • 8245, Williamson Road, Hollins Court, Hollins, Roanoke County, Virginia, 24019, United States

    ROANOKE, VA 240196951

    Phone: (540) 293-7601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20241017002538OClinic/Group PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24019)

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Reviews

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Frequently asked questions

Is there an official ID for TINKER CREEK CREATIVE COUNSELING, LLC in U.S. healthcare records?
The official identifier for TINKER CREEK CREATIVE COUNSELING, LLC is NPI 1710498209.
Is TINKER CREEK CREATIVE COUNSELING, LLC shown as active in public data?
Registry records indicate TINKER CREEK CREATIVE COUNSELING, LLC maintains an active NPI.
What expertise is attributed to TINKER CREEK CREATIVE COUNSELING, LLC?
TINKER CREEK CREATIVE COUNSELING, LLC's specialty line reads Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Is TINKER CREEK CREATIVE COUNSELING, LLC located near Roanoke?
TINKER CREEK CREATIVE COUNSELING, LLC currently maps to Roanoke, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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