Individual provider Active NPI

Claire Sunkel

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1821787029
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004488A Issued in IN
Practice address
3901 E Hagan St Ste F
Bloomington, IN 47401-8516
Phone
(812) 650-1234
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004488A IN Primary

Addresses

Primary practice location

3901 E Hagan St Ste F
Bloomington, IN 47401-8516

Mailing address

3901 E Hagan St
Bloomington, IN 47401-8557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109003400 IN Practitioner - Mental Health Counselor 8820526411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39004488AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Spencer PHD HSPP PC CurrentSince Jan 3, 2025 Accepting new patients

Locations

482 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-8474

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1821787029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E HAGAN ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E HAGAN ST STE F",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018516",
            "telephone_number": "812-650-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNKEL",
        "first_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004488A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.