Active NPI
William Wade Earls, M.A.
- Addiction (Substance Use Disorder) Counselor
- Bloomington, IN
National Provider Identifier
1083368393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2100 S Liberty Dr Ste a
Bloomington, IN 47403-5147 - Phone
- (812) 727-6700
- NPI assigned
- Feb 6, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2100 S Liberty Dr Ste a
Bloomington, IN 47403-5147
Mailing address
2251 Crawford St
Terre Haute, IN 47803-2566
Phone (812) 240-5391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limestone Health, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1659879187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644105600000",
"number": "1083368393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 CRAWFORD ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478032566",
"telephone_number": "812-240-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S LIBERTY DR STE A",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035147",
"telephone_number": "812-727-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLS",
"first_name": "WILLIAM",
"middle_name": "WADE",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-06",
"last_updated": "2022-02-06",
"certification_date": "2022-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.