NPIMap

Organization Active NPI

Heartland Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, IA
National Provider Identifier
1285793349
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEARTLAND FAMILY SERVICE
Practice address
107 No 4TH Avenue
#819
Logan, IA 51546
Phone
(712) 644-2946
Fax
(712) 644-2207
NPI assigned
Dec 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Peter Tulipana, ACSW MPA
Title
President Ceo
Phone
(402) 552-7402

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

107 No 4TH Avenue
#819
Logan, IA 51546

Mailing address

2101 S 42ND St
Omaha, NE 68105-2909
Phone (402) 553-3000

Other names 1

  • Family Service Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000174 NE Part B Supplier - Clinic/Group Practice 7315833506 Receives reassigned benefits from 27 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE; Papillion, NE
O20081218000069 IA Part B Supplier - Clinic/Group Practice 7315833506 Receives reassigned benefits from 29 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Logan, IA; Harlan, IA; Glenwood, IA; Council Bluffs, IA

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2180070Heartland Family Service Logan107 No 4TH Avenue #8/9, Logan, IA 51546Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Family Service21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

107 N 4th Ave
#819
Logan, IA 51546
Phone (712) 644-2946

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285793349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052909",
            "telephone_number": "402-553-3000",
            "fax_number": "402-553-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NO 4TH AVENUE",
            "address_2": "#819",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "51546",
            "telephone_number": "712-644-2946",
            "fax_number": "712-644-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TULIPANA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "402-552-7402",
        "authorized_official_credential": "ACSW MPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Logan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.