Individual provider Active NPI

Mindi Wisker-Tindall, LMHC, LCPC

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1871029983
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003034A Issued in IN
Practice address
2620 N Walnut St Ste 700
Bloomington, IN 47404-2008
Phone
(812) 727-4030
NPI assigned
May 10, 2017
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003034A IN Primary
Professional Counselor 101YP2500X LCPC04323 KS

Addresses

Primary practice location

2620 N Walnut St Ste 700
Bloomington, IN 47404-2008

Mailing address

2620 N Walnut St Ste 700
Bloomington, IN 47404-2008
Phone (812) 727-4030

Other practice location 1

5696 S Nature Trail Dr
Bloomington, IN 47403-8866
Phone (812) 727-4030

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
I20231122002804 IN Practitioner - Mental Health Counselor 3971951344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer Spencer PHD HSPP PCGroup PAC ID 0244384758, 9 clinicians

Practice addresses (Care Compare)

2620 N Walnut St
Suite 700
Bloomington, IN 47404-2008
Phone (812) 727-4030

482 S Landmark Ave
Bloomington, IN 47403-5000
Phone (812) 333-8474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39003034AINMDMental Health Counselor
LCPC04323KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindi Wisker-Tindall Counseling Services LLC Mental Health CurrentSince Sep 13, 2025 Accepting new patients
Jennifer Spencer PHD HSPP PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1312 W Arch Haven Ave
Ste A
Bloomington, IN 47403
Phone (812) 676-4144

2620 N Walnut St
Ste 700
Bloomington, IN 47404
Phone (812) 727-4030

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1871029983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N WALNUT ST STE 700",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042008",
            "telephone_number": "812-727-4030",
            "fax_number": "812-289-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N WALNUT ST STE 700",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042008",
            "telephone_number": "812-727-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5696 S Nature Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474038866",
            "country_code": "US",
            "telephone_number": "812-727-4030",
            "fax_number": "812-289-4935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISKER-TINDALL",
        "first_name": "MINDI",
        "credential": "LMHC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003034A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC04323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.