NPIMap

Organization Active NPI

Healing Hearts Ranch

  • Mental Health Counselor
  • Great Bend, KS
National Provider Identifier
1316464217
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING HEARTS RANCH
Practice address
155 SE 1 Ave
Great Bend, KS 67530-9696
Phone
(620) 792-5173
Fax
(888) 389-9946
NPI assigned
Aug 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kelley Johnson, LCPCNPI 1639296759
Title
Clinical Director
Phone
(620) 792-5173

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

155 SE 1 Ave
Great Bend, KS 67530-9696

Mailing address

155 SE 1 Ave
Great Bend, KS 67530-9696
Phone (620) 792-5173

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316464217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SE 1 AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675309696",
            "telephone_number": "620-792-5173",
            "fax_number": "888-389-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SE 1 AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675309696",
            "telephone_number": "620-792-5173",
            "fax_number": "888-389-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "620-792-5173",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.