Heart Space LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEART SPACE LLC

Practice address

1113 E Main St
Montrose, CO 81401-4043

Phone

(970) 765-7734

NPI assigned

Jul 13, 2018

Last updated

Jan 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cristi Anne Wilson, LCSWNPI 1891284378

Title

Owner

Phone

(970) 765-7734

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.

• Cristi Anne Wilson, LCSW

  • Clinical Social Worker
  • Montrose, CO
  • NPI 1891284378
  NPD Authorized official

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1013493980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014043",
            "telephone_number": "970-765-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014043",
            "telephone_number": "970-765-7734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Sherman St",
            "address_purpose": "LOCATION",
            "city": "Ridgway",
            "state": "CO",
            "postal_code": "814325055",
            "country_code": "US",
            "telephone_number": "970-765-7734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-765-7734",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Head, OTA
• Healthy Living Therapy LLC
• Healthy Smiles Dental Hygiene, PLLC
• Matthew Trace Heard, PA-C
• Hearing Screening Associates LLC (Hearing Screening Associates-Montrose)
• Heart Stone Pathway LLC (The Heart Stone Pathway L.L.C)
• Melodie Lee Heberly, PHARMD.
• Tara Lynn Hefti, RD
• Payton Heger, RBT
• Michael F Hehmann, MD

• Clinical Social Worker in Montrose, CO
• Providers in Montrose, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.