NPIMap

Organization Active NPI

Heartland Behavioral Health Inc

Doing business as Heartland Behavioral Health

  • Group Psychotherapy Psychologist
  • Lowell, IN
National Provider Identifier
1134618333
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
HEARTLAND BEHAVIORAL HEALTH INC
Doing business as
Heartland Behavioral Health
Practice address
2068 Lucas Pkwy
Lowell, IN 46356-2169
Phone
(219) 690-7025
NPI assigned
May 3, 2018
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Jaime Rogers
Title
Ceo/Owner
Phone
(219) 690-7025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X Primary

Addresses

Primary practice location

2068 Lucas Pkwy
Lowell, IN 46356-2169

Mailing address

2068 Lucas Pkwy
Lowell, IN 46356-2169
Phone (219) 690-7025

Other practice location 1

101 Beverly Dr Ste A&b
Chesterton, IN 46304-3470
Phone (219) 690-7025

Other names 1

  • Heartland Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180831002189 IN Part B Supplier - Clinic/Group Practice 9638429269 Receives reassigned benefits from 13 practitioners
Practice locations: Chesterton, IN; Lowell, IN

National Provider Directory

National Provider Directory

Locations

2068 Lucas Pkwy
Ste 3
Lowell, IN 46356
Phone (219) 690-7025

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1134618333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 LUCAS PKWY",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562169",
            "telephone_number": "219-690-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 LUCAS PKWY",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562169",
            "telephone_number": "219-690-7025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Beverly Dr Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463043470",
            "country_code": "US",
            "telephone_number": "219-690-7025",
            "fax_number": "219-552-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARTLAND BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "219-690-7025"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.