Individual provider Active NPI

Janel Bobby Quillin

  • Social Worker
  • Terre Haute, IN
National Provider Identifier
1952599508
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33003656A Issued in IN
Practice address
3021 N 13TH St
Ste 3
Terre Haute, IN 47804-1244
Phone
(812) 229-6243
Fax
(812) 213-4182
NPI assigned
Oct 9, 2007
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33003656A IN Primary

Addresses

Primary practice location

3021 N 13TH St
Ste 3
Terre Haute, IN 47804-1244

Mailing address

3021 N 13TH St
Ste 3
Terre Haute, IN 47804-1244
Phone (812) 229-6243

Other names 1

  • Butterfly Counseling Butterfly Counseling Other name

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
I20091020000369 IN Practitioner - Clinical Social Worker 7214074582 Practice locations: Terre Haute, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3021 N 13TH St
Terre Haute, IN 47804-1244
Phone (812) 229-6243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33003656AINMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1952599508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 N 13TH ST",
            "address_2": "STE 3",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041244",
            "telephone_number": "812-229-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 N 13TH ST",
            "address_2": "STE 3",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041244",
            "telephone_number": "812-229-6243",
            "fax_number": "812-213-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIN",
        "first_name": "JANEL",
        "middle_name": "BOBBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33003656A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUTTERFLY COUNSELING",
            "last_name": "BUTTERFLY COUNSELING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.