Organization Active NPI

LPS Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Martinsville, IN
National Provider Identifier
1811272867
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20040289 Issued in IN
Legal business name
LPS BEHAVIORAL HEALTH LLC
Practice address
3630 Meadows Dr
Martinsville, IN 46151-9450
Phone
(765) 318-1225
Fax
(800) 596-3681
NPI assigned
Oct 20, 2011
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Mrs. Beth Ann Robison, LMHC
Title
Office Manager
Phone
(765) 318-1225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 20040289 IN Primary

Addresses

Primary practice location

3630 Meadows Dr
Martinsville, IN 46151-9450

Mailing address

3630 Meadows Dr
Martinsville, IN 46151-9450
Phone (765) 318-1225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000250 IN Part B Supplier - Clinic/Group Practice 4486821154 Receives reassigned benefits from 3 practitioners
Practice locations: Bloomington, IN; Greenwood, IN; Martinsville, IN

National Provider Directory

National Provider Directory
Tax ID family
LPS Behavioral Health 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.

Locations

120 W 7th St
Ste 310
Bloomington, IN 47404
Phone (765) 318-1225

3043 N Lintel Dr
Bloomington, IN 47404
Phone (812) 333-7622

633 Library Park Dr
Ste K
Greenwood, IN 46142
Phone (765) 318-1225

1839 Robin Rd
Ste 126
Martinsville, IN 46151
Phone (765) 318-1225

3630 Meadows Dr
Martinsville, IN 46151
Phone (765) 318-1225

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1811272867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 MEADOWS DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461519450",
            "telephone_number": "765-318-1225",
            "fax_number": "800-596-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 MEADOWS DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461519450",
            "telephone_number": "765-318-1225",
            "fax_number": "800-596-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-318-1225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "20040289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.