NPIMap

Organization Active NPI

Walkabout LLC

  • Community/Behavioral Health Agency
  • Bloomington, IN
National Provider Identifier
1821335563
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
28160285A Issued in IN
Legal business name
WALKABOUT LLC
Practice address
205 S Walnut St
Bloomington, IN 47404-6128
Phone
(812) 671-0057
Fax
(855) 370-1590
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Mrs. Mary BalleNPI 1841575735
Title
Pmhcns-BC, RN
Phone
(812) 671-0057

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
Community/Behavioral Health Agency 251S00000X 28160285A IN Primary

Addresses

Primary practice location

205 S Walnut St
Bloomington, IN 47404-6128

Mailing address

205 S Walnut St St 17
Bloomington, IN 47404

National Provider Directory

National Provider Directory

Locations

205 S Walnut St
Bloomington, IN 47404
Phone (812) 360-4847

205 S Walnut St
Ste 17
Bloomington, IN 47404
Phone (812) 339-8031

Practitioners & affiliated clinicians

Practitioners 1

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": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1821335563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S WALNUT ST ST 17",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046128",
            "telephone_number": "812-671-0057",
            "fax_number": "855-370-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKABOUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "BALLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PMHCNS-BC, RN",
        "authorized_official_telephone_number": "812-671-0057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "28160285A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.