Fayette BHC LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAYETTE BHC LLC

Practice address

3013 Virginia Ave
Connersville, IN 47331-2552

Phone

(765) 827-8022

Fax

(765) 827-4184

NPI assigned

Oct 16, 2023

Last updated

Jun 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tia R BowlingNPI 1407280449

Title

Owner

Phone

(765) 827-7890

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Fayette BHC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fayette BHC LLC

  • Psychiatric Residential Treatment Facility
  • Connersville, IN
  • NPI 1538932140
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tia R Bowling, NP

  • Family Nurse Practitioner
  • Connersville, IN
  • NPI 1407280449
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Renee Fischer, LCSW

  • Clinical Social Worker
  • Connersville, IN
  • NPI 1407594211
  Medicare reassignment Care Compare group NPD
• Rhonda Friend

  • Clinical Social Worker
  • Connersville, IN
  • NPI 1427128149
  Medicare reassignment Care Compare group NPD
• Timothy McDivitt, MSW, LCSW

  • Clinical Social Worker
  • Rushville, IN
  • NPI 1477910982
  Medicare reassignment Care Compare group NPD
• Vahid Osman, MD

  • Psychiatry Physician
  • Jeffersonville, IN
  • NPI 1740264720
  Medicare reassignment NPD
• Tina S. Chavis, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1053795435

  Family, IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1669254546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312552",
            "telephone_number": "765-827-8022",
            "fax_number": "765-827-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312552",
            "telephone_number": "765-827-8022",
            "fax_number": "765-827-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE BHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-827-7890"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300082868",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Center Group, LLC (Connersville Eye Center)
• Faithful Seniorcare
• Family Health Services, Inc.
• Caitlin Fattore
• Fayette BHC LLC
• Fayette Co Physician Organization Dba Family Practice WVMC
• Fayette County Government
• Fayette County Pediatrics LLC
• Fayette County Physician Orginazation LLC (Whitewater Valley Urgent Care)
• Fayette County School Corp

• Mental Health Clinic/Center (Including Community Mental Health Center) in Connersville, IN
• Providers in Connersville, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.