Organization Active NPI

Heartland Clinic, Inc.

  • Marriage & Family Therapist
  • Lafayette, IN
National Provider Identifier
1316990880
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001121A Issued in IN
Legal business name
HEARTLAND CLINIC, INC.
Practice address
2201 Ferry St
Lafayette, IN 47904-3047
Phone
(765) 446-9898
Fax
(765) 446-9424
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Dennis Wayne Edwards, PHD, LMFT
Title
President
Phone
(765) 446-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 35001121A IN Primary

Addresses

Primary practice location

2201 Ferry St
Lafayette, IN 47904-3047

Mailing address

2201 Ferry St
Lafayette, IN 47904-3047
Phone (765) 446-9898

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1316990880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 FERRY ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043047",
            "telephone_number": "765-446-9898",
            "fax_number": "765-446-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 FERRY ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043047",
            "telephone_number": "765-446-9898",
            "fax_number": "765-446-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-446-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001121A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.