Individual provider Active NPI

Denise Hyble, LMFT

  • Marriage & Family Therapist
  • Bloomington, IN
National Provider Identifier
1396901989
Registry record updated Aug 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35000950 Issued in IN
Practice address
205 N College Ave Ste 615
Bloomington, IN 47404-3956
Phone
(812) 334-2858
NPI assigned
Aug 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3900069A IN
Marriage & Family Therapist 106H00000X 35000950 IN Primary

Addresses

Primary practice location

205 N College Ave Ste 615
Bloomington, IN 47404-3956

Mailing address

205 N College Ave Ste 615
Bloomington, IN 47404-3956
Phone (812) 334-2858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3900069AINMDMental Health Counselor
35000950INMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217635200000",
    "number": "1396901989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 615",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043956",
            "telephone_number": "812-334-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 615",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043956",
            "telephone_number": "812-334-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYBLE",
        "first_name": "DENISE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-02",
        "last_updated": "2008-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "3900069A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2008; 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.