Organization Active NPI

Healing Hearts Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williston, ND
National Provider Identifier
1093295859
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
4969 Issued in ND
Legal business name
HEALING HEARTS THERAPY, LLC
Practice address
511 2ND St W
Williston, ND 58801-5907
Phone
(701) 570-1317
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Windy Moriah Nelson-Egeberg, LICSW
Title
Owner/Therapist
Phone
(701) 570-1317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4969 ND Primary

Addresses

Primary practice location

511 2ND St W
Williston, ND 58801-5907

Mailing address

511 2ND St W
Williston, ND 58801-5907
Phone (701) 570-1317

National Provider Directory

National Provider Directory

Locations

511 2nd St W
Williston, ND 58801
Phone (701) 570-1317

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1093295859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 2ND ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015907",
            "telephone_number": "701-570-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 2ND ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015907",
            "telephone_number": "701-570-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "NELSON-EGEBERG",
        "authorized_official_first_name": "WINDY",
        "authorized_official_middle_name": "MORIAH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "701-570-1317",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ND",
            "license": "4969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.