Heather Nitzki LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

HEATHER NITZKI LLC

Doing business as

Impression Psychotherapy

Practice address

5060 Cascade Rd SE Ste D
Grand Rapids, MI 49546-3808

Phone

(331) 625-3796

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Heather Nitzki

Title

Provider

Phone

(331) 625-3796

Specialties & licenses 2

Addresses

Other names 1

• IMPRESSION PSYCHOTHERAPY Doing business as

Locations

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1417648908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "331-625-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "331-625-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER NITZKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "NITZKI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "331-625-3796"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPRESSION PSYCHOTHERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail L Heathcote, CNM
• Heather Dermyer, LLC
• Heather Duthler
• Heather Hills Limited Partnership
• Heather Hills Nursing, LLC (Heather Hills Rehabilitation and Care Center)
• Tamara Marie Heaven, H.U.C.C
• Samantha Heavner, OTR/L
• Cara Heberlein
• Carrie R Hecht, MD
• Tanner Thomas Hecht, PA

• Marriage & Family Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.