NPIMap

Organization Active NPI

Heartland Counseling Services.Inc.

  • Community/Behavioral Health Agency
  • Wayne, NE
National Provider Identifier
1306049424
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEARTLAND COUNSELING SERVICES.INC.
Practice address
112 E 2ND St
Ste. 115
Wayne, NE 68787-2056
Phone
(402) 494-3337
NPI assigned
Jun 6, 2007
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Jennifer Jackson, LIMHP, LPC, ATR-BCNPI 1194055087
Title
Executive Director
Phone
(402) 494-3337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

112 E 2ND St
Ste. 115
Wayne, NE 68787-2056

Mailing address

PO Box 355
South Sioux City, NE 68776-0355
Phone (402) 494-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040604000284 NE Part B Supplier - Clinic/Group Practice 0749262509 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ainsworth, NE; Oneill, NE; South Sioux City, NE

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Locations

112 E 2nd St
Ste 115
Wayne, NE 68787

112 W 2nd St
Wayne, NE 68787
Phone (402) 833-8495

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1306049424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687760355",
            "telephone_number": "402-494-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 2ND ST",
            "address_2": "STE. 115",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687872056",
            "telephone_number": "402-494-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND COUNSELING SERVICES.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-494-3337",
        "authorized_official_credential": "LIMHP, LPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.