Mountain Meadows Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

991272 Issued in CO

Legal business name

MOUNTAIN MEADOWS COUNSELING, LLC

Practice address

620 Trust Dr
Bayfield, CO 81122-9235

Phone

(970) 222-2027

NPI assigned

Aug 8, 2012

Last updated

Aug 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Conny Heischkel, LCSWNPI 1386851152

Title

Mental Health Therapist, Owner

Phone

(970) 222-2027

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Conny Heischkel, LCSW

  • Clinical Social Worker
  • Canon City, CO
  • NPI 1386851152
  Authorized official Same address or phone

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1386991305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 TRUST DR",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229235",
            "telephone_number": "970-222-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TRUST DR",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229235",
            "telephone_number": "970-222-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEADOWS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "HEISCHKEL",
        "authorized_official_first_name": "CONNY",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST, OWNER",
        "authorized_official_telephone_number": "970-222-2027",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "991272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C810674",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Boyd Meier, OD
• Milestones Pediatric Therapy, LLC
• Nicholas Mimmack, PHARMD
• Kenneth Roy Monger, D.C.
• Paula F Mooney, MSPT
• Karen L Nakayama, PSY.D.
• Stephen Grigsby Nicholson, DDS
• Mary E O'Donnell, RPH
• Painted Sky Dental
• Pediatric Partners of the Southwest P.C.

• Clinical Social Worker in Bayfield, CO
• Providers in Bayfield, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.