BEHAVIORAL SUPPORT SERVICES, LLC. (NPI# 1962561654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962561654 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL SUPPORT SERVICES, LLC. |
| Practice Address |
405 S. Walnut St. Suite 309-11 Muncie IN 47305 |
| Practice Telephone | 7652868266 |
| Practice Fax Number | 7652878842 |
| Mailing Telephone | 7652868266 |
| Mailing Fax Number | 7652878842 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN DOUGLAS THOMASON (OWNER) |
| Authorized Official Telephone | 7652868266 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | BEHAVIORAL SUPPORT SERVICES, LLC | 3012 S. Chippewa Lane, Muncie, IN 47302 |
| Street Address |
405 S. WALNUT ST. SUITE 309-11 |
| City | MUNCIE |
| State | IN |
| Zip Code | 47305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548376619 | Charles P Slavin | Dentist | 315 W Washington St, Muncie, IN 47305 | 2006-08-22 |
| 1437135522 | Delaware County Auditor | Ambulance | 401 E Jackson, Muncie, IN 47305 | 2005-12-20 |
| 1033505375 | Shereene Grant | Family Medicine | 333 S Madison St, Muncie, IN 47305 | 2015-04-14 |
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1598821266 | Larry Lee Mccallister | Family Medicine | 217 S Cherry St, Muncie, IN 47305-1506 | 2006-12-28 |
| 1124189899 | Open Door Community Services, Inc | Homemaker | 926 W Main St, Muncie, IN 47305-1539 | 2006-12-13 |
| 1104215508 | Kacyn Tucker-ramer | Behavioral Analyst | 920 W Main St, Muncie, IN 47305-1539 | 2015-01-22 |
| 1518040625 | Robin L Cooper | Nurse Practitioner | 806 W Jackson St, Muncie, IN 47305-1551 | 2006-10-23 |
| 1184924524 | Jennessa R Johnston | Nurse Practitioner | 806 W Jackson St, Muncie, IN 47305-1551 | 2010-11-02 |
| 1497782932 | Raymond Scott Nanko | Chiropractor | 919 W Jackson St, Muncie, IN 47305-1554 | 2006-06-28 |
| Find all providers in zip 47305 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588025951 | Amber Bloom | Counselor | 1725 S Liberty St, Muncie, IN 47302-3158 | 2016-03-14 |
| 1760840326 | Tangela Edwards | Counselor | 801 E Seymour, Muncie, IN 47302-2578 | 2016-02-10 |
| 1437528437 | Kingdom Wellness Counseling and Mentoring Center | Counselor | 3400 W Riggin Rd, Unit #5, Muncie, IN 47304-6140 | 2015-09-20 |
| 1063820801 | Charles Kirk Sr. | Counselor | 4346 S Pinewood Dr, Muncie, IN 47302-6215 | 2014-07-24 |
| 1306250998 | John Gothard | Counselor | 1220 W North St, Muncie, IN 47303-3619 | 2014-06-11 |
| 1043637382 | Dezi Price | Counselor | 4422 W Woods Edge Ln, Muncie, IN 47304-6081 | 2014-03-25 |
| 1255941761 | Kaylee Mcdonald | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-08-10 |
| 1043820608 | Samantha Girot | Counselor | 3620 W White River Blvd, Muncie, IN 47304-4286 | 2020-08-07 |
| 1063036903 | Margaret Ann Dorfner | Counselor | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-06-06 |
| 1265052278 | Deyon Brumby | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-04-20 |
| Find all providers in MUNCIE | ||||
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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.