Organization Active NPI

Healing Hearts LLC

  • Mental Health Counselor
  • Caribou, ME
National Provider Identifier
1184967077
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
661053 Issued in ME
Legal business name
HEALING HEARTS LLC
Practice address
7 Prospect St
Caribou, ME 04736-2456
Phone
(207) 492-1000
Fax
(207) 492-1006
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Ms. Marla A. Raymond, MSW-MHRT/CNPI 1649338104
Title
Ceo
Phone
(207) 492-1000

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 661053 ME Primary

Addresses

Primary practice location

7 Prospect St
Caribou, ME 04736-2456

Mailing address

PO Box 87
Caribou, ME 04736-0087
Phone (207) 492-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130815000224 ME Part B Supplier - Clinic/Group Practice 1759523079 Receives reassigned benefits from 1 practitioner
Practice locations: Caribou, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1184967077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047360087",
            "telephone_number": "207-492-1000",
            "fax_number": "207-492-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROSPECT ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362456",
            "telephone_number": "207-492-1000",
            "fax_number": "207-492-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-492-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW-MHRT/C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "661053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.