Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EXODUS COUNSELING CENTER, LLC
NPI 1104560390
Clinic/Center - Adolescent and Children Mental Health in Bloomington, IN

Active since April 24, 2022
530 W CHURCH LN, BLOOMINGTON, IN 47403(812) 837-6336 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Jul 16, 2026, Apr 24, 2022 (3 updates tracked since 2022).

About Exodus Counseling Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXODUS COUNSELING CENTER, LLC (NPI 1104560390) is a healthcare organization registered as an adolescent and children mental health in Bloomington, Indiana and active in the NPI registry since April 2022. The organization lists Renae Cameron, Therapist, as its authorized official.

NPPES Registry Identity

NPI1104560390
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameEXODUS COUNSELING CENTER, LLC
Location Address530 W CHURCH LNBloomington, IN 47403-4613
Mailing Address9225 S Harrodsburg RdBloomington, IN 47403-8818 · (812) 837-6336
Organization SubpartNo
Authorized OfficialRenae CameronTherapist · (507) 360-5280
Enumeration DateApril 24, 2022
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1104560390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
530 W CHURCH LN, Bloomington, IN 47403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Exodus Counseling Center, LLC's NPI number?

The NPI number for Exodus Counseling Center, LLC is 1104560390. It was assigned to this organization in the NPPES registry on April 24, 2022.

Where is Exodus Counseling Center, LLC located?

Exodus Counseling Center, LLC is located at 530 W Church Ln, Bloomington, IN 47403. The listed phone number is (812) 837-6336.

What is Exodus Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Exodus Counseling Center, LLC was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.