Stephanie Heitman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STEPHANIE HEITMAN

Doing business as

Counseling for Psychological Resilience
Heitman Mental Health Services

Practice address

602 Otley Ave
Perry, IA 50220-1088

Phone

(515) 992-6638

NPI assigned

May 25, 2022

Last updated

May 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Heitman, LISW

Title

Owner

Phone

(515) 992-6638

Specialties & licenses 2

Addresses

Other names 2

• Counseling for Psychological Resilience Doing business as
• Heitman Mental Health Services Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

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.

• Lydia Buckingham

  • Mental Health Counselor
  • Perry, IA
  • NPI 1245911916
  Medicare reassignment Care Compare group NPD
• Stephanie Elizabeth Heitman-Taggart, LISW

  • Clinical Social Worker
  • Perry, IA
  • NPI 1417212358

  Mental Health

  Medicare reassignment Care Compare group NPD
• Megan Reed, LMSW

  • Clinical Social Worker
  • Perry, IA
  • NPI 1124856422
  NPD

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1194463414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502200253",
            "telephone_number": "515-992-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 OTLEY AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201088",
            "telephone_number": "515-992-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE HEITMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "HEITMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-992-6638",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seheitman@mchsi.com",
            "affiliation": "N",
            "address_1": "602 Otley Ave",
            "city": "Perry",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502201088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seheitman@mchsi.com",
            "affiliation": "N",
            "address_1": "602 Otley Ave",
            "city": "Perry",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502201088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Counseling for Psychological Resilience",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Counseling for Psychological Resilience",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heitman Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Owen Spellman, D.D.S.
• Heather Spooner, PHARMD
• State University of Iowa (UI Family Care Perry)
• State University of Iowa (UI Family Care - Perry)
• Gregory Dale Steffen, D.D.S.
• Aaron Eric Stoltz, D.C.
• Lance Jeremy Stumbo, LMFT
• Summit Family Dental
• Lauren Swan, PA-C
• Swanson Dental Care PC

• Clinical Social Worker in Perry, IA
• Providers in Perry, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.