BRANDT BADGER LLC (NPI# 1386288546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386288546 |
| Entity Type | Organization |
| Organization Name | BRANDT BADGER LLC |
| Practice Address |
205 N College Ave Ste 613 Bloomington IN 47404-3956 |
| Mailing Address |
408 E Dodds St Bloomington IN 47401-4819 |
| Practice Telephone | 8122006122 |
| Practice Fax Number | 8126101482 |
| Mailing Telephone | 8123459919 |
| Mailing Fax Number | 8126101482 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | JONATHAN BRANDT BADGER (MENTAL HEALTH THERAPIST) |
| Authorized Official Telephone | 8123459919 |
| Authorized Official Credential | LMHCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bloomington Center for Trauma Recovery | Other Name - Individual/Organization |
| Street Address |
205 N COLLEGE AVE STE 613 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477990059 | Megan S Nickless | Counselor | 205 N College Ave Ste 613, Bloomington, IN 47404-3956 | 2013-05-23 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1235744533 | Integrity Counseling, Inc. | Clinic/Center | 502 S Morris Ave Unit D, Bloomington, IL 61701-4891 | 2020-09-13 |
| 1326658568 | Jennifer Steinmetz Msw LLC | Clinic/Center | 115 N College Ave Ste 225, Bloomington, IN 47404-4099 | 2020-08-03 |
| 1376174904 | Karen Brosius LLC | Clinic/Center | 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 | 2020-02-02 |
| 1023675634 | County of Mclean | Clinic/Center | 200 W Front St Ste 400e, Bloomington, IL 61701-5048 | 2019-05-20 |
| 1982175212 | Blue Skies Counseling LLC | Clinic/Center | 200 W Monroe St # 302a, Bloomington, IL 61701-3997 | 2018-12-16 |
| 1740705946 | Sea Glass Counseling, LLC | Clinic/Center | 2103 E Washington St Ste 2f, Bloomington, IL 61701-4365 | 2017-08-08 |
| 1164813671 | Inspiring Enterprises, LLC | Clinic/Center | 202 N Prospect Rd, Suite 207, Bloomington, IL 61704-7914 | 2015-02-05 |
| 1659761633 | Minnesota Counseling and Therapy Center | Clinic/Center | 140 W 98th St Ste 105, Bloomington, MN 55420-4800 | 2015-01-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on BRANDT BADGER LLC.
| 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.