Carol Jane Heinlein, PC-IT, SAC-IT

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

171 Chestnut St
Phillips, WI 54555-1313

Phone

(715) 339-3048

Fax

(715) 339-2436

NPI assigned

Dec 13, 2016

Last updated

Apr 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol J. Kriefall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling & Development Center

  • Mental Health Counselor
  • Phillips, WI
  • NPI 1760524854
  NPD (past)

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1053855841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "address_2": "171 CHESTNUT STREET",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545550071",
            "telephone_number": "715-339-3048",
            "fax_number": "715-339-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CHESTNUT ST",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545551313",
            "telephone_number": "715-339-3048",
            "fax_number": "715-339-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLEIN",
        "first_name": "CAROL",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PC-IT, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "KRIEFALL",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy A Gehrke
• Haven House (Safe Haven Counseling)
• Haven House Community Support Center LLC (Safe Haven Counseling)
• Haven House Community Support Center of Price County
• Hearing Advantage LLC
• Melody Jean Jorgensen
• Deborah A Kozak, MD
• Nicole Kulwicki, NP-C
• Jennifer L Kunkel, CNA
• Lakeview Pharmacy Inc

• Social Worker in Phillips, WI
• Providers in Phillips, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.