Betty Jane Hancock, LMHC
Individual provider Active NPI Mental Health Counselor · Winchester, IN
NPI 1497868533 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1497868533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39000407A (IN)
- Practice address
- 325 S Oak St Ste 103
Winchester, IN 47394-2246 - Phone
- (765) 584-1735
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Centerstone of Indiana Inc
Practice addresses (Care Compare)
325 S Oak St
Winchester, IN 47394-2246
Phone (765) 584-1735
720 N Marr Rd
Columbus, IN 47201-6660
Phone (812) 314-3400
809 Dillon Dr
Richmond, IN 47374-8048
Phone (765) 983-8000
831 Dillon Dr
Richmond, IN 47374-8048
Phone (765) 983-8000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240615000150 | IN | Practitioner - Mental Health Counselor | 1658814926 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39000407A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Indiana, Inc. | Current |
Accepting new patients | |
| Centerstone of Indiana, Inc. | Current |
Accepting new patients |
Locations
645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691
720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400
325 S Oak St
Ste 103
Winchester, IN 47394
Phone (765) 584-1735
Interoperability endpoints
- betty.hancock.p1@direct.meridianhs.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000407A | IN | Yes |
Addresses
Primary practice location
325 S Oak St Ste 103
Winchester, IN 47394-2246
Mailing address
645 S Rogers St
Bloomington, IN 47403-2353
NPI Registry JSON
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1497868533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 S ROGERS ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S OAK ST STE 103",
"city": "WINCHESTER",
"state": "IN",
"postal_code": "473942246",
"telephone_number": "765-584-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "BETTY",
"middle_name": "JANE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000407A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, IN
- Dacey Marie Gibson
- Greg Robert Gobrecht
- Kristen Lea Grilliot
- David Brian Gudkese
- Brady Hall
- Kirsten M Heitkamp
- Help-Call & Rescue
- Justin Hersberger
- Reagan Brianne Hoggatt
- Andrew Hollinger
All providers in Winchester, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.