Brandt Badger LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRANDT BADGER LLC

Practice address

205 N College Ave Ste 613
Bloomington, IN 47404-3956

Phone

(812) 200-6122

Fax

(812) 610-1482

NPI assigned

Oct 31, 2019

Organization subpart

No

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

Authorized official

Name

Jonathan Brandt Badger, LMHCANPI 1841767969

Title

Mental Health Therapist

Phone

(812) 345-9919

Specialties & licenses 1

Addresses

Other names 1

• Bloomington Center for Trauma Recovery Other name

Practitioners 1

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

• Jonathan Brandt Badger, MS, LMHCA

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1841767969
  NPD Authorized official

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1386288546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E DODDS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014819",
            "telephone_number": "812-345-9919",
            "fax_number": "812-610-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 613",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043956",
            "telephone_number": "812-200-6122",
            "fax_number": "812-610-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDT BADGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "BADGER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "BRANDT",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "812-345-9919",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomington Center for Trauma Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trey J Bradley, NP
• William Brady, RBT
• Michann Bramwell, OT
• James Caleb Branam, LMHC
• Shannon Brandriff, MOT, OTR/L
• Brandt L Ludlow, M.D., LLC
• Ava Branham
• Joseph A Branham, R.PH.
• Shania Branigin
• Grace Marie Brasel, OD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.