MR. IAN WOOLLEN (NPI# 1659550044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659550044 |
Entity Type | Individual |
Full Name | MR. IAN WOOLLEN |
Credential | M.A., LMFT, LMHC |
Practice Address |
205 N College Ave Suite 313 Bloomington IN 47404-3950 |
Practice Telephone | 8123353805 |
Mailing Telephone | 8123353805 |
Enumeration Date | 2007-11-01 |
Last Update Date | 2007-11-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 35001298A | IN | Behavioral Health & Social Service Providers |
Street Address |
205 N COLLEGE AVE SUITE 313 |
City | BLOOMINGTON |
State | IN |
Zip Code | 47404-3950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629383617 | Jonna Marie Capio | Counselor | 205 N College Ave, Suite 430, Bloomington, IN 47404-3950 | 2010-08-13 |
1962713388 | True North LLC | Psychologist | 205 N College Ave, Bloomington, IN 47404-3950 | 2010-06-30 |
1265743165 | Stephen Curtis | Clinical Neuropsychologist | 205 N College Ave, Suite 713, Bloomington, IN 47404-3950 | 2010-06-24 |
1023339967 | Diane Menke Pence, LLC | Counselor | 205 N College Ave, Ste 613, Bloomington, IN 47404-3950 | 2010-06-15 |
1144435678 | Suzanne Fulkerson | Counselor | 205 N College Ave, Suite 613, Bloomington, IN 47404-3950 | 2007-05-10 |
1851468805 | Laura Dawn Blahous-mangin | Social Worker | 205 N College Ave, Suite 210b, Bloomington, IN 47404-3950 | 2006-11-28 |
1295763233 | Laurence R. Barnhill | Psychologist | 205 N College Ave, Suite 614, Bloomington, IN 47404-3950 | 2006-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
Find all providers in zip 47404 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770092546 | Jessica Parker | Marriage & Family Therapist | 10624 Xavier Ave S, Bloomington, MN 55437-2726 | 2017-09-25 |
1366782336 | Anna Hollerich | Marriage & Family Therapist | 9048 Johnson Ave S, Bloomington, MN 55437-1806 | 2013-02-27 |
1548514136 | Katelyn J Minelli | Marriage & Family Therapist | 1136 W 17th St, Suite B, Bloomington, IN 47404-3002 | 2012-11-03 |
1093061301 | The Minnesota Center for Couples and Family Therapy, LLC | Marriage & Family Therapist | 1120 E 80th St, Suite 200, Bloomington, MN 55420-1462 | 2012-07-24 |
1093088544 | Timothy James Kaehr | Marriage & Family Therapist | 1801 American Blvd E, Suite 1, Bloomington, MN 55425-1232 | 2012-02-14 |
1003195082 | Judith Louise Ross Agustin | Marriage & Family Therapist | 8100 Penn Ave S Ste 150h, Bloomington, MN 55431-1346 | 2011-08-09 |
1477786218 | Schuyler Fisk Seager Vi | Marriage & Family Therapist | 1000 E 80th St, Bloomington, MN 55420-1424 | 2009-08-27 |
1740409242 | Erin Elizabeth Leach | Marriage & Family Therapist | 140 W 98th St, Suite 222, Bloomington, MN 55420-4865 | 2007-04-24 |
1073646964 | Joseph D Strano | Marriage & Family Therapist | 2 Whites Pl, Bloomington, IL 61701-1860 | 2007-03-13 |
1639236144 | Heidi D Schmidt | Marriage & Family Therapist | 9201 E Bloomington Fwy Ste Q, Bloomington, MN 55420-3413 | 2007-01-03 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47404 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.