Active NPI
Behavioral Support Services, LLC.
- Counselor
- Muncie, IN
National Provider Identifier
1962561654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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 DirectoryLocations
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.