Tim Duane Bizelli

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005038700 Issued in MO

Practice address

500 Jungermann Rd
Ste 308
Saint Peters, MO 63376-2775

Phone

(636) 345-1106

Fax

(636) 447-4640

NPI assigned

Apr 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tim Bizelli Counseling LLCGroup PAC ID 8820535081, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tim Bizelli Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • O'Fallon, MO
  • NPI 1659035350
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1285807222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JUNGERMANN RD",
            "address_2": "STE 308",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762775",
            "telephone_number": "636-345-1106",
            "fax_number": "636-447-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JUNGERMANN RD",
            "address_2": "STE 308",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762775",
            "telephone_number": "636-345-1106",
            "fax_number": "636-447-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZELLI",
        "first_name": "TIM",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005038700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494044407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Bindrim
• Bio-Medical Applications of Missouri, Inc. (St. Charles County Dialysis)
• Kristina L Biondo, PTA
• Nancy Birtley, PMHNP
• Marigrace Bishop, LBA, BCBA
• Bjsph Physician Billing Services, LLC (Benrus Surgical at Barnes-Jewish St. Peters)
• Christin Black
• Andrew T Blackburne, MD
• Joy Blair
• Richard Wayne Blalock Jr., D.C.

• Professional Counselor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.

Verify at the official NPI Registry.