BENJAMIN MADDOCK
NPI 1821796368
Counselor - Mental Health in Bloomington, IN

Active since February 22, 2023
1117 N JACKSON ST, BLOOMINGTON, IN 47404(812) 322-2817 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin Maddock NPPES

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

BENJAMIN MADDOCK (NPI 1821796368) is an individual mental health provider in Bloomington, Indiana and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1821796368
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENJAMIN MADDOCK
Location Address1117 N JACKSON STBloomington, IN 47404-3385
Mailing Address800 N Smith Rd Apt 7bBloomington, IN 47408-2934 · (812) 322-2817
Sole ProprietorYes
Enumeration DateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
NPI 1821796368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1117 N JACKSON ST, Bloomington, IN 47404

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1117 N JACKSON ST
BLOOMINGTON, IN 47404
Counselor (Mental Health)
1117 N JACKSON ST
BLOOMINGTON, IN 47404
Community/Behavioral Health
1117 N JACKSON ST
BLOOMINGTON, IN 47404
Social Worker (Clinical)
1117 N JACKSON ST
BLOOMINGTON, IN 47404
Social Worker
1117 N JACKSON ST
BLOOMINGTON, IN 47404
Social Worker (Clinical)
1117 N JACKSON ST
BLOOMINGTON, IN 47404
Social Worker (Clinical)
1117 N JACKSON ST
BLOOMINGTON, IN 47404
Counselor (School)
1117 N JACKSON ST
BLOOMINGTON, IN 47404

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 Benjamin Maddock's NPI number?

The NPI number for Benjamin Maddock is 1821796368. It was assigned to this individual provider in the NPPES registry on February 22, 2023.

Where is Benjamin Maddock located?

Benjamin Maddock practices at 1117 N Jackson St, Bloomington, IN 47404. The listed phone number is (812) 322-2817.

What is Benjamin Maddock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Benjamin Maddock was last updated on February 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.