Organization Active NPI

Wholehearted Therapy LLC

  • Clinical Social Worker
  • Richmond, KY
National Provider Identifier
1124819990
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHOLEHEARTED THERAPY LLC
Practice address
351 Radio Park Dr Ste 202
Richmond, KY 40475-2668
Phone
(502) 501-7381
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Heather Nicole Brandenburg, LCSWNPI 1689245581
Title
Owner
Phone
(859) 644-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

351 Radio Park Dr Ste 202
Richmond, KY 40475-2668

Mailing address

34 Virginia Ave
Winchester, KY 40391-1120

Other practice location 1

34 Virginia Ave
Winchester, KY 40391-1120
Phone (859) 644-9033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251010002144 KY Part B Supplier - Clinic/Group Practice 5193222412 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, KY

National Provider Directory

National Provider Directory

Locations

351 Radio Park Dr
Ste 202
Richmond, KY 40475
Phone (502) 501-7381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1124819990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 VIRGINIA AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 RADIO PARK DR STE 202",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752668",
            "telephone_number": "502-501-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403911120",
            "country_code": "US",
            "telephone_number": "859-644-9033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLEHEARTED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-644-9033",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.