| Cathlic Charities Bloomington | |
|
803 N Monroe St Bloomington IN 47404-3321 | |
| (812) 332-1262 | |
| (812) 334-8464 |
| Full Name | Cathlic Charities Bloomington |
|---|---|
| Speciality | Counselor |
| Location | 803 N Monroe St, Bloomington, Indiana |
| Authorized Official Name and Position | David J. Bethuram (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3172361500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathlic Charities Bloomington 803 N Monroe St Bloomington IN 47404-3321 Ph: (812) 332-1262 | Cathlic Charities Bloomington 803 N Monroe St Bloomington IN 47404-3321 Ph: (812) 332-1262 |
| NPI Number | 1255439493 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/22/2016 |
| Medicare PECOS PAC ID | 8022252592 |
|---|---|
| Medicare Enrollment ID | O20130924000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255439493 | NPI | - | NPPES |
| 703415000 | Other | IN | MAGELLAN PROVIDER |
| 000000 189106 | Other | IN | ANTHEM PROVIDER |
| 100121560A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Sheri Benham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790230084 PECOS PAC ID: 0648542589 Enrollment ID: I20170828000935 |
| Provider Name | Michael J Stribling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528544046 PECOS PAC ID: 5193138220 Enrollment ID: I20210111002349 |
| Provider Name | Helen M Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386305332 PECOS PAC ID: 3779977038 Enrollment ID: I20220302001609 |
Dr. Katy Kopp Miller, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 7th St Ste 108, Bloomington, IN 47404 Phone: 765-425-3412 | |
Diane Menke Pence, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N College Ave, Ste 613, Bloomington, IN 47404 Phone: 812-333-3440 Fax: 812-333-3444 | |
Huts Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 E Plateau Place, Bloomington, IN 47401 Phone: 804-386-9216 Fax: 804-464-1483 | |
Bloomington Meadows Physicians Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3600 N Prow Rd, Bloomington, IN 47404 Phone: 812-331-8000 Fax: 812-331-8985 | |
Angela R Marshall Psyd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Vernal Pike, Bloomington, IN 47404 Phone: 812-345-5114 Fax: 812-339-0369 | |
New Outlook Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5010 N Stone Mill Rd, Suite B, Bloomington, IN 47408 Phone: 812-929-2193 Fax: 888-789-8394 | |
Leah Sinn Iversen Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 518 N Colony Ct, Bloomington, IN 47408 Phone: 812-320-2017 |