Heartland Counseling Services, Inc.
Organization Active NPI Community/Behavioral Health Agency · Ainsworth, NE
NPI 1407059520 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1407059520
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- HEARTLAND COUNSELING SERVICES, INC.
- Practice address
- 938 E Zero St
Ainsworth, NE 69210-1555 - Phone
- (402) 336-2800
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Jo-Jividen Jackson
- Title
- Executive Director
- Phone
- (402) 494-3337
Other NPIs on the same Medicare enrollment 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
938 E Zero St
Ainsworth, NE 69210-1555
Mailing address
PO Box 355
S Sioux City, NE 68776-0355
Phone (402) 336-2800
Other providers in Ainsworth, NE
- Hillary M Goodwin
- Teresa K Goshorn
- Kwynn Meagan Gracey
- Michaela A Gulzow
- Susan Haskell
- Jenee' L. Hill
- Catherine A Hinrichs
- Chelsea Hladky
- Amanda Hockenbary
- Seth Holt
All providers in Ainsworth, NE · Community/Behavioral Health Agency in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.