Organization Active NPI

Patricia Muyskens Counseling and Consultation

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1740831734
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATRICIA MUYSKENS COUNSELING AND CONSULTATION
Practice address
101 W Kirkwood Ave Ste 222
Bloomington, IN 47404-6133
Phone
(812) 219-1314
NPI assigned
Sep 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Patricia Muyskens, LCSWNPI 1942763149
Title
Owner
Phone
(812) 219-1314

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

101 W Kirkwood Ave Ste 222
Bloomington, IN 47404-6133

Mailing address

715 N Plymouth Rd
Bloomington, IN 47408-3066
Phone (812) 219-1314

Other names 1

  • Patricia Muyskens Counseling and Consultation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191030000557 IN Part B Supplier - Clinic/Group Practice 4587996277 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomington, IN

National Provider Directory

National Provider Directory

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": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1740831734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N PLYMOUTH RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474083066",
            "telephone_number": "812-219-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE STE 222",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046133",
            "telephone_number": "812-219-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA MUYSKENS COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "MUYSKENS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-219-1314",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia Muyskens Counseling and Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2019; 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.