Heron Consulting, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

841 Issued in IA

Legal business name

HERON CONSULTING, INC.

Practice address

603 Sunrise Blvd
Decorah, IA 52101-2527

Phone

(563) 419-1124

Fax

(563) 387-2303

NPI assigned

Jul 14, 2013

Last updated

Jul 14, 2013By 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

Joseph L. Breitenstein, PH.D.NPI 1629174743

Title

President

Phone

(563) 419-1124

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.

• Joseph Louis Breitenstein, PH.D.

  • Clinical Psychologist
  • Decorah, IA
  • NPI 1629174743
  NPD (past) Authorized official

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

{
    "created_epoch": "1373760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373760000000",
    "number": "1093156416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 SUNRISE BLVD",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012527",
            "telephone_number": "563-419-1124",
            "fax_number": "563-387-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SUNRISE BLVD",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012527",
            "telephone_number": "563-419-1124",
            "fax_number": "563-387-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERON CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-14",
        "last_updated": "2013-07-14",
        "status": "A",
        "authorized_official_last_name": "BREITENSTEIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-419-1124",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawkeye Medical Transport LLC
• Miranda Lynn Hayek, OTR/L
• Dana Leigh Helton
• Carol Hemesath, MS, LMHC
• Rachel Herold, LMSW
• Jeannine Hisel
• Rachel Sue Holm, LPN
• Ashley M Homstad, LISW
• Grace Horner, TLMHC
• Ronald K. Hougen, PH.D.

• Clinical Psychologist in Decorah, IA
• Providers in Decorah, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2013; 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.