Organization Active NPI

Linda Bannister Counseling, LLC

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1508638669
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Linda L Bannister, LMHC, ATR-BCNPI 1639728082
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240206000838 IN Part B Supplier - Clinic/Group Practice 3375986458 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomington, IN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.