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

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005099A Issued in IN

Practice address

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

Phone

(812) 917-5091

NPI assigned

Nov 28, 2007

Last updated

May 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wabash Valley Therapy LLCGroup PAC ID 4183957574, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wabash Valley Therapy, LLC

  • Clinical Social Worker
  • Terre Haute, IN
  • NPI 1225695745
  Medicare reassignment Care Compare group NPD Authorized official
• Green House and Associates Inc

  • Psychologist
  • McCordsville, IN
  • NPI 1558316463

  Clinical

  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1366624678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INDIANA STATE UNIVERSITY",
            "address_2": "749 CHESTNUT STREET, NURSING BLDG. #422",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478090001",
            "telephone_number": "812-237-2322",
            "fax_number": "812-237-8114"
        },
        {
            "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": {
        "last_name": "COOPER-BOLINSKEY",
        "first_name": "DIANNA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000197A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005099A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wabashvalleytherapy@outlook.com",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "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": []
}

• Chase Contri
• Alena Cook
• Marion Harlan Cook, RPH
• Jamie Cooke
• Nathan Coonrod, MD
• Sheri Lynn Cooper, MS CLL-SLP
• Jackson L Copper
• Reagan Copper
• Monte L Cordray, M.D.
• Melinda Marie Cornelius, NP-C

• 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; 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.