Emil J Adsit
Individual provider Active NPI Mental Health Counselor · Bloomington, IN
NPI 1720596281 · NPPES record last updated Jan 18, 2018
Key facts
- NPI
- 1720596281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 39003175A (IN)
- Practice address
- 645 S Rogers St
Bloomington, IN 47403-2353 - Phone
- (812) 339-1691
- Fax
- (812) 337-2438
- NPI assigned
- Jan 18, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003175A | IN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003175A | IN | Yes |
Addresses
Primary practice location
645 S Rogers St
Bloomington, IN 47403-2353
Mailing address
645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.