Active NPI
Linda Bannister Counseling, LLC
- Mental Health Counselor
- Bloomington, IN
National Provider Identifier
1508638669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LINDA BANNISTER COUNSELING, LLC
- Practice address
- 205 N College Ave Ste 311
Bloomington, IN 47404-3953 - Phone
- (317) 902-8079
- NPI assigned
- Oct 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda L Bannister, LMHC, ATR-BC
- Title
- Owner
- Phone
- (317) 902-8079
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
205 N College Ave Ste 311
Bloomington, IN 47404-3953
Mailing address
3702 E Bethel LN
Bloomington, IN 47408-9011
Phone (317) 902-8079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
205 N College Ave
Ste 311
Bloomington, IN 47404
Phone (317) 902-8079
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Bloomington, IN
- NPI 1639728082
-
- Clinical Psychologist
- Bloomington, IN
- NPI 1730491713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701820800000",
"number": "1508638669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 E BETHEL LN",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474089011",
"telephone_number": "317-902-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N COLLEGE AVE STE 311",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043953",
"telephone_number": "317-902-8079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA BANNISTER COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-23",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A",
"authorized_official_last_name": "BANNISTER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-902-8079",
"authorized_official_credential": "LMHC, ATR-BC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.