CATHOLIC CHARITIES (NPI# 1255439493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255439493 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES |
| Other Organization Name | CATHLIC CHARITIES BLOOMINGTON |
| Practice Address |
803 N Monroe St Bloomington IN 47404-3321 |
| Practice Telephone | 8123321262 |
| Practice Fax Number | 8123348464 |
| Mailing Telephone | 8123321262 |
| Mailing Fax Number | 8123348464 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-07-22 |
| Authorized Official Name | MR. DAVID J. BETHURAM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3172361500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER | 000000 189106 | 01 |
| IN | MAGELLAN PROVIDER | 703415000 | 01 |
| IN | 100121560A | 05 |
| Other Name | Type Code |
|---|---|
| Cathlic Charities Bloomington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427531052 | Catholic Charities | Counselor | 102 Avenue J, Lubbock, TX 79401-1438 | 2018-09-10 |
| 1083166011 | Catholic Charities | Case Management | 32-24 83rd Street, Jackson Height, NY 11372 | 2016-10-25 |
| 1821546516 | Catholic Charities | Community/Behavioral Health | 51 Stonefield Dr Apt 1, Waterbury, CT 06705-3310 | 2016-09-12 |
| 1922454347 | Catholic Charities | Exclusive Provider Organization | 327 Mount Laurel Rd, Mount Laurel, NJ 08054-9556 | 2016-05-05 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1184087538 | Catholic Charities | Psychiatric Residential Treatment Facility | 12 Essex Ln, Willingboro, NJ 08046-2243 | 2016-04-02 |
| 1720441173 | Catholic Charities | Psychiatric Residential Treatment Facility | 597 Beverly Rancocas Rd, Willingboro, NJ 08046-3346 | 2016-04-02 |
| 1992121388 | Catholic Charities | Case Management | 1106 N El Dorado St Ste A, Stockton, CA 95202-1332 | 2014-03-10 |
| 1902245350 | Catholic Charities | Community/Behavioral Health | 833 Cass Street, Trenton, NJ 08609 | 2013-06-19 |
| 1588900740 | Catholic Charities | Community Based Residential Treatment Facility, Mental Illness | 1020 Trinity Ave, Bronx, NY 10456-6912 | 2012-12-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATHOLIC CHARITIES | 90 Cherry Ln, Hicksville, NY 11801-6232 |
| Oregon Corporations, Companies and Business Names | CATHOLIC CHARITIES | 2740 Se Powell Blvd #5, Portland, OR 97202 |
| Colorado Business Entities | Catholic Charities | 1942 Broadway St, Ste 314c, Boulder, CO 80302 |
| System for Award Management (SAM) Entities | CATHOLIC CHARITIES & COMMUNITY | 6240 Smith Rd, Denver, CO 80216-4632 |
| System for Award Management (SAM) Entities | CATHOLIC CHARITIES AGENCY OF THE ROMAN CATHOLIC DIOCESE OF SPRINGFIELD, MASSACHUSETTS, INC | 65 Elliot St, Springfield, MA 01105-1713 |
| Colorado Business Entities | CATHOLIC CHARITIES AND COMMUNITY SERVICES OF THE ARCHDIOCESEOF DENVER, INC. | 6240 Smith Road, Denver, CO 80216 |
| System for Award Management (SAM) Entities | CATHOLIC CHARITIES ARCHDIOCESE OF ST LOUIS | 4445 Lindell Blvd, Saint Louis, MO 63108-2403 |
| System for Award Management (SAM) Entities | CATHOLIC CHARITIES BLOOMINGTON, INC. | 803 N Monroe St, Bloomington, IN 47404-3321 |
| Indiana Business Entities | CATHOLIC CHARITIES BLOOMINGTON, INC. | 631 N College Ave, Bloomington, IN 47404 |
| System for Award Management (SAM) Entities | CATHOLIC CHARITIES BUREAU, INC. | 1416 Cumming Ave, Superior, WI 54880-3757 |
| Street Address |
803 N MONROE ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720041163 | O'connell W. Case | Social Worker | 803 N Monroe St, Bloomington, IN 47404-3321 | 2006-04-07 |
| 1265076582 | Emily Marie Corturillo | Marriage & Family Therapist | 803 N Monroe St, Bloomington, IN 47404-3321 | 2019-10-30 |
| 1841767969 | Jonathan Brandt Badger | Counselor | 803 N Monroe St, Bloomington, IN 47404-3321 | 2018-10-26 |
| 1174008437 | Amber Nicole Kinney | Counselor | 803 N Monroe St, Bloomington, IN 47404-3321 | 2018-10-02 |
| 1528544046 | Michael James Stribling | Social Worker | 803 N Monroe St, Bloomington, IN 47404-3321 | 2018-07-17 |
| 1841739562 | Jessica Bare | Counselor | 803 N Monroe St, Bloomington, IN 47404-3321 | 2017-02-14 |
| 1346799491 | Dennis Craig | Counselor | 803 N Monroe St, Bloomington, IN 47404-3321 | 2016-09-30 |
| 1093130932 | Catherine Crandall | Social Worker | 803 N Monroe St, Bloomington, IN 47404-3321 | 2014-03-01 |
| 1629490537 | Kara Kathryne Baertsch | Counselor | 803 N Monroe St, Bloomington, IN 47404-3321 | 2014-01-11 |
| 1902167109 | Dawn M Meyer | Optometrist | 803 N Monroe St, Bloomington, IN 47404-3321 | 2012-06-04 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1023630357 | Janice Bush | Counselor | 909 W Olive St, Bloomington, IL 61701-4962 | 2020-05-08 |
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1477990059 | Megan S Nickless | Counselor | 205 N College Ave Ste 613, Bloomington, IN 47404-3956 | 2013-05-23 |
| 1427329143 | Jared Brent Bostrom | Counselor | 1100 E 80th St, Bloomington, MN 55420-1426 | 2012-01-26 |
| 1437438181 | Walter Lawrence Campbell | Counselor | 600 N. Jordan Ave, Bloomington, IN 47405 | 2011-08-12 |
| 1720376221 | Jamie Laurson | Counselor | 702 W. Chestnut Street, Bloomington, IL 61701 | 2011-07-18 |
| 1396054037 | Carrie Ann Lawrence | Counselor | 6666 S Old State Road 37, Bloomington, IN 47401-8912 | 2010-09-29 |
| 1558691998 | Robarn Danzman | Counselor | 221 E Kirkwood Ave, Suite 5, Bloomington, IN 47408-3559 | 2010-01-07 |
| 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.