Active NPI
Heartland Wellness LLC
- Professional Counselor
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0012340
- Legal business name
- HEARTLAND WELLNESS LLC
- Practice address
- 7596 W Jewell Ave Ste 303
Lakewood, CO 80232-6839 - Phone
- (303) 325-5617
- Fax
- (720) 368-5157
- NPI assigned
- Mar 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sujatha Reddy, LPC
- Title
- Owner
- Phone
- (614) 937-4365
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0012340 | CO | Primary |
Addresses
Primary practice location
7596 W Jewell Ave Ste 303
Lakewood, CO 80232-6839
Mailing address
1019 S Alkire St
Lakewood, CO 80228-3111
Phone (303) 325-5617
Other practice location 1
12157 W Cedar Dr
Lakewood, CO 80228-2103
Phone (614) 937-4365
Other names 1
- Heartland Wellness LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | heartlandwellness@gmail.com | Direct | Heartland Wellness LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12157 W Cedar Dr
Lakewood, CO 80228
Phone (303) 586-1978
7596 W Jewell Ave
Ste 303
Lakewood, CO 80232
Phone (303) 325-5617
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": "1458864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1215399548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 S ALKIRE ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802283111",
"telephone_number": "303-325-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7596 W JEWELL AVE STE 303",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802326839",
"telephone_number": "303-325-5617",
"fax_number": "720-368-5157"
}
],
"practiceLocations": [
{
"address_1": "12157 W Cedar Dr",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802282103",
"country_code": "US",
"telephone_number": "614-937-4365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEARTLAND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-25",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "SUJATHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-937-4365",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0012340",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "heartlandwellness@gmail.com",
"affiliation": "Y",
"endpointDescription": "Group Email",
"affiliationName": "Heartland Wellness LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Email",
"address_1": "7596 W Jewell Ave Ste 303",
"city": "Lakewood",
"state": "CO",
"country_code": "US",
"postal_code": "802326839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Heartland Wellness LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.