Gestalt Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GESTALT THERAPY PLLC

Practice address

2176 Pleasant Ridge Rd
Ramseur, NC 27316-8244

Phone

(509) 242-7274

NPI assigned

Jan 6, 2021

Last updated

Nov 15, 2021By 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

Melissa Bennett-Heinz, LCSWNPI 1467904151

Title

Psychotherapist

Phone

(509) 242-7274

Specialties & licenses 1

Addresses

Other names 1

• Gestalt Therapy LLC Other name

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.

• Melissa Lynn Bennett-Heinz, LICSW

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1467904151
  Authorized official Same address or phone

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1013505973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 PLEASANT RIDGE RD",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "273168244",
            "telephone_number": "509-242-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 PLEASANT RIDGE RD",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "273168244",
            "telephone_number": "509-242-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESTALT THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "BENNETT-HEINZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "509-242-7274",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gestalt Therapy LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gestalt Therapy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Ramseur, NC
• Providers in Ramseur, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.