Organization Active NPI

Hearthstone Counseling LLC

  • Counselor
  • Kearney, NE
National Provider Identifier
1114574811
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
HEARTHSTONE COUNSELING LLC
Practice address
3710 Central Ave Ste 4
Kearney, NE 68847-8126
Phone
(402) 418-1061
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Dr. Marissa A Fye, PHD, PLMHP, NCC, BCT
Title
Counselor/ Assistant Professor
Phone
(402) 418-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

3710 Central Ave Ste 4
Kearney, NE 68847-8126

Mailing address

3710 Central Ave Ste 4
Kearney, NE 68847-8126

Other identifiers 1

IdentifierTypeStateIssuer
1497288617MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marissa.fye@hearthstone-counseling.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1114574811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 CENTRAL AVE STE 4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CENTRAL AVE STE 4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478126",
            "telephone_number": "402-418-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "FYE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR/ ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "402-418-1061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, PLMHP, NCC, BCT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497288617",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marissa.fye@hearthstone-counseling.com",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3710 Central Ave Ste 4",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688478126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.