Organization Active NPI

Behavioral Support Services, LLC.

  • Counselor
  • Muncie, IN
National Provider Identifier
1962561654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BEHAVIORAL SUPPORT SERVICES, LLC.
Practice address
405 S. Walnut St.
Suite 309-11
Muncie, IN 47305
Phone
(765) 286-8266
Fax
(765) 287-8842
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Douglas Thomason, M.A.
Title
Owner
Phone
(765) 286-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

405 S. Walnut St.
Suite 309-11
Muncie, IN 47305

Mailing address

405 S. Walnut St.
Suite 309-11
Muncie, IN 47305
Phone (765) 286-8266

National Provider Directory

National Provider Directory

Locations

405 S Walnut St
Ste 30911
Muncie, IN 47305
Phone (765) 286-8266

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962561654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S. WALNUT ST.",
            "address_2": "SUITE 309-11",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47305",
            "telephone_number": "765-286-8266",
            "fax_number": "765-287-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S. WALNUT ST.",
            "address_2": "SUITE 309-11",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47305",
            "telephone_number": "765-286-8266",
            "fax_number": "765-287-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL SUPPORT SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-286-8266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.