Wabash Valley Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WABASH VALLEY THERAPY, LLC

Practice address

609 E Surgery Center Dr
Terre Haute, IN 47802-6815

Phone

(812) 917-5091

NPI assigned

May 20, 2019

Last updated

May 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dianna Cooper-Bolinskey, LCSWNPI 1366624678

Title

Therapist

Phone

(812) 230-1699

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dianna Ruth Cooper-Bolinskey, L.C.S.W.

  • Clinical Social Worker
  • Terre Haute, IN
  • NPI 1366624678
  Medicare reassignment Care Compare group NPD Authorized official
• Paul Kevin Bolinskey, PH.D.

  • Clinical Psychologist
  • Terre Haute, IN
  • NPI 1801167937
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1225695745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ALLENDALE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024751",
            "telephone_number": "812-230-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E SURGERY CENTER DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478026815",
            "telephone_number": "812-917-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH VALLEY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "COOPER-BOLINSKEY",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "812-230-1699",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wabashvalleytherapy@outlook.com",
            "affiliation": "N",
            "address_1": "609 E Surgery Center Dr",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478026815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wabash Valley Neurology LLC
• Wabash Valley Podiatry Inc. (Gerald Henke DPM)
• Wabash Valley Psychiatry, LLC
• Wabash Valley Safekeepers LLC
• Wabash Valley Surgical Associates LLC
• Wabash Valley Urological Assoc Inc
• Kristin Rachelle Wade
• Kaylynn Wagers
• Lorrie Wagner, M.S., CCC-SLP
• Nathaniel Jacob Wagner, PHD, LMHC

• Clinical Social Worker in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.