Organization Active NPI

Heartland Wellness LLC

  • Professional Counselor
  • Lakewood, CO
National Provider Identifier
1215399548
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0012340 Issued in CO
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

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Sujatha Reddy, LPCNPI 1487834347
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
O20240109000139 CO Part B Supplier - Clinic/Group Practice 1254782865 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.