Active NPI
Bethany Ann Murray, PHD, PMHCNS-BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 70000008A
- Practice address
- 550 S Adams St
Bloomington, IN 47403-2165 - Phone
- (812) 333-6324
- Fax
- (812) 331-6700
- NPI assigned
- Dec 21, 2005
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 70000008A | IN | Primary |
Addresses
Primary practice location
550 S Adams St
Bloomington, IN 47403-2165
Mailing address
550 S Adams St
Bloomington, IN 47403-2165
Phone (812) 333-6324
Other names 1
- Bethany Ann Deckard-Crouch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 S Adams St
Bloomington, IN 47403-2165
Phone (812) 333-6324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70000008A | IN | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Indiana, Inc. | Current | Accepting new patients | |
| Stone Belt Arc, Inc. | Current | Accepting new patients | |
| Centerstone of Indiana, Inc. | Current | Accepting new patients |
Locations
2815 E 10th St
Bloomington, IN 47408
Phone (812) 332-2168
550 S Adams St
Bloomington, IN 47403
Phone (812) 333-6324
645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691
720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400
390 Erie Ave
Ste A
Connersville, IN 47331
Phone (812) 325-7492
Interoperability endpoints
- bmurray@stonebeltmilestone.direct.emds.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Bloomington, IN
- NPI 1730240888
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1992781470
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1972320224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1023094174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S ADAMS ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032165",
"telephone_number": "812-333-6324",
"fax_number": "812-331-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S ADAMS ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032165",
"telephone_number": "812-333-6324",
"fax_number": "812-331-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "BETHANY",
"middle_name": "ANN",
"credential": "PHD, PMHCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IN",
"license": "70000008A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "DECKARD-CROUCH",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.