Individual provider Active NPI

Linda Louise Bannister

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1639728082
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003545A Issued in IN
Practice address
3702 E Bethel LN
Bloomington, IN 47408-9011
Phone
(317) 902-8079
NPI assigned
Sep 9, 2019
Reactivated
Dec 26, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003545A IN Primary

Addresses

Primary practice location

3702 E Bethel LN
Bloomington, IN 47408-9011

Mailing address

3702 E Bethel LN
Bloomington, IN 47408-9011
Phone (317) 902-8079

Other practice location 1

9961 Crosspoint Blvd
Indianapolis, IN 46256-3391
Phone (317) 585-1060

Other practice location 2

205 N College Ave Ste 311
Bloomington, IN 47404-3953
Phone (812) 269-2096

Other practice location 3

482 S Landmark Ave
Bloomington, IN 47403-5000
Phone (812) 222-8474

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL lbcounseling@counselingsecure.com Direct
CONNECT URL lbcounseling@counselingsecure.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206001172 IN Practitioner - Mental Health Counselor 5890138986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 N College Ave
Suite 311
Bloomington, IN 47404-3953
Phone (317) 902-8079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39003545AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Bannister Counseling, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

205 N College Ave
Ste 311
Bloomington, IN 47404
Phone (317) 902-8079

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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1639728082",
    "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": "3702 E BETHEL LN",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089011",
            "telephone_number": "317-902-8079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9961 Crosspoint Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462563391",
            "country_code": "US",
            "telephone_number": "317-585-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N College Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474043953",
            "country_code": "US",
            "telephone_number": "812-269-2096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "482 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474035000",
            "country_code": "US",
            "telephone_number": "812-222-8474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "LINDA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "deactivation_date": "2023-11-22",
        "reactivation_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003545A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lbcounseling@counselingsecure.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3702 E Bethel Ln",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lbcounseling@counselingsecure.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3702 E Bethel Ln",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.