Uplifting Hearts Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

UPLIFTING HEARTS COUNSELING

Practice address

26 Court St
Brooklyn, NY 11242-0103

Phone

(347) 450-3876

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Danielle A Fairbairn-Bland, LCSW

Title

Owner

Phone

(347) 450-3876

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1235781774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 HENDRIX ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112076010",
            "telephone_number": "917-620-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112420103",
            "telephone_number": "347-450-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTING HEARTS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "FAIRBAIRN-BLAND",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-450-3876",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, CIGNA",
            "identifier": "1093005282",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.upliftingheartscounseling.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26 Court St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112420103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.