Intuitive Heart Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007260 Issued in IA

Legal business name

INTUITIVE HEART COUNSELING SERVICES, LLC

Practice address

6955 University Ave
Windsor Heights, IA 50324-1540

Phone

(515) 802-7348

Fax

(515) 255-3944

NPI assigned

Jan 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Penny Jo Nichols-Peterson, LISWNPI 1356647143

Title

Owner/Clinical Social Worker

Phone

(515) 802-7348

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Penny Jo Nichols-Peterson, LISW

  • Clinical Social Worker
  • Windsor Heights, IA
  • NPI 1356647143
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1013306224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 49TH PL",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102969",
            "telephone_number": "515-802-7348",
            "fax_number": "515-255-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 UNIVERSITY AVE",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241540",
            "telephone_number": "515-802-7348",
            "fax_number": "515-255-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTUITIVE HEART COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLS-PETERSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "515-802-7348",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Windsor Heights, IA
• Providers in Windsor Heights, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.