Hartley Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

15674 Issued in MN

Legal business name

HARTLEY COUNSELING SERVICES, LLC

Practice address

6607 18TH Ave S
101
Richfield, MN 55423-2784

Phone

(612) 554-3740

Fax

(651) 344-4406

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Keeva Hartley, MSW, LICSWNPI 1932181658

Title

Owner

Phone

(612) 554-3740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keeva Nicole Hartley, MSW LICSW

  • Clinical Social Worker
  • Bloomington, MN
  • NPI 1932181658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1013449073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S",
            "address_2": "101",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232784",
            "telephone_number": "612-554-3740",
            "fax_number": "651-344-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S",
            "address_2": "101",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232784",
            "telephone_number": "612-554-3740",
            "fax_number": "651-344-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLEY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "KEEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-554-3740",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "15674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luann K Hanson, MSW LICSW
• Ronald Wayne Hanson Jr., MD
• Fox J Haring
• Peter Allen Harmon, D.C.
• Harmony Haven Health LLC
• Bianca Emmamae Harvey
• Abdulbasil Mohamed Hassan
• Ahmed M Hassan
• Elyas Meris Hassan
• Lauren Beth Haveman, M.D.

• Community/Behavioral Health Agency in Richfield, MN
• Providers in Richfield, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.