Fonthill Behavioral Health

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

FONTHILL BEHAVIORAL HEALTH

Practice address

221 E Kirkwood Ave
Suite 5
Bloomington, IN 47408-3559

Phone

(812) 727-0722

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Rob Danzman, NCC, LPC

Title

Clinical Director

Phone

(812) 727-0722

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robarn Danzman, LPC

  • Professional Counselor
  • Bloomington, IN
  • NPI 1558691998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1174078893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E KIRKWOOD AVE",
            "address_2": "SUITE 5",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083559",
            "telephone_number": "812-727-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E KIRKWOOD AVE",
            "address_2": "SUITE 5",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083559",
            "telephone_number": "812-727-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTHILL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "DANZMAN",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "812-727-0722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.