Active NPI
Robarn Danzman, LPC
- Professional Counselor
- Bloomington, IN
National Provider Identifier
1558691998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7647
- Practice address
- 221 E Kirkwood Ave
Suite 5
Bloomington, IN 47408-3559 - Phone
- (812) 727-0722
- Fax
- (919) 928-5225
- NPI assigned
- Jan 7, 2010
- Last updated
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7647 | NC | |
| Mental Health Counselor | 101YM0800X | 7647 | NC | |
| Professional Counselor | 101YP2500X | 7647 | NC | Primary |
Addresses
Primary practice location
221 E Kirkwood Ave
Suite 5
Bloomington, IN 47408-3559
Mailing address
221 E Kirkwood Ave
Suite 5
Bloomington, IN 47408-3559
Phone (812) 727-0722
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7647 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fonthill Behavioral Health | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Bloomington, IN
- NPI 1174078893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1558691998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 E KIRKWOOD AVE",
"address_2": "SUITE 5",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474083559",
"telephone_number": "812-727-0722",
"fax_number": "919-928-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E KIRKWOOD AVE",
"address_2": "SUITE 5",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474083559",
"telephone_number": "812-727-0722",
"fax_number": "919-928-5225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANZMAN",
"first_name": "ROBARN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-07",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "7647",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7647",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7647",
"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 Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.