Organization Active NPI

Mindi Wisker-Tindall Counseling Services LLC

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1063384923
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDI WISKER-TINDALL COUNSELING SERVICES LLC
Practice address
2620 N Walnut St Ste 700
Bloomington, IN 47404-2008
Phone
(812) 727-4030
NPI assigned
Sep 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mindi Wisker-Tindall, LMHC, LCPCNPI 1871029983
Title
Member/Owner
Phone
(812) 727-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

2620 N Walnut St Ste 700
Bloomington, IN 47404-2008

Mailing address

5696 S Nature Trail Dr
Bloomington, IN 47403-8866
Phone (812) 727-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251219002360 IN Part B Supplier - Clinic/Group Practice 7911492624 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomington, IN

National Provider Directory

National Provider Directory

Locations

2620 N Walnut St
Ste 700
Bloomington, IN 47404
Phone (812) 727-4030

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": "1758326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1063384923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5696 S NATURE TRAIL DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038866",
            "telephone_number": "812-727-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N WALNUT ST STE 700",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042008",
            "telephone_number": "812-727-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDI WISKER-TINDALL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "WISKER-TINDALL",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "812-727-4030",
        "authorized_official_credential": "LMHC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.