Heartsource Therapy PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014484 Issued in IL

Legal business name

HEARTSOURCE THERAPY PC

Practice address

33 E Colorado Ave
Frankfort, IL 60423-1385

Phone

(708) 837-3319

Fax

(815) 469-6481

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Gale Nienhuis, LCSW

Title

President

Phone

(708) 837-3319

Specialties & licenses 1

Addresses

Practitioners 3

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

• Sharon Ann Burge, LCPC

  • Professional Counselor
  • Frankfort, IL
  • NPI 1275624025
  NPD (past)
• Diane Nickless

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1891221974
  NPD (past)
• Ann M Polodna, LCPC

  • Professional Counselor
  • Orland Hills, IL
  • NPI 1780713446
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1215314414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620523",
            "telephone_number": "708-837-3319",
            "fax_number": "815-469-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231385",
            "telephone_number": "708-837-3319",
            "fax_number": "815-469-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSOURCE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "NIENHUIS",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-837-3319",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Partners Health Services LLC
• Hearing and Balance Specialists of Illinois LLC.
• Heart Source Therapy
• Heartfelt Medical PLLC
• Heartland Home Care LLC (Heartland Home Health Care)
• Alan Jeffery Heath, D.D.S.
• Therese Marie Heenan, DO
• Helix, LLC.
• Anthony P Helma, PSY.D.
• Helping Hands Home Care Services LLC

• Clinical Social Worker in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.