Active NPI
Darlene Heimerl, M.A.
- Psychologist
- Wayzata, MN
National Provider Identifier
1437485190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP1597
- Practice address
- 700 Twelve Oaks Center Dr Ste 734
Wayzata, MN 55391-4450 - Phone
- (952) 258-0668
- Fax
- (612) 235-3384
- NPI assigned
- Oct 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP1597 | MN | Primary |
Addresses
Primary practice location
700 Twelve Oaks Center Dr Ste 734
Wayzata, MN 55391-4450
Mailing address
700 Twelve Oaks Center Dr Ste 734
Wayzata, MN 55391-4450
Phone (952) 258-0668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1597 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Clinic | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Wayzata, MN
- NPI 1487739819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1437485190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 TWELVE OAKS CENTER DR STE 734",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553914450",
"telephone_number": "952-258-0668",
"fax_number": "612-235-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 TWELVE OAKS CENTER DR STE 734",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553914450",
"telephone_number": "952-258-0668",
"fax_number": "612-235-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMERL",
"first_name": "DARLENE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-30",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP1597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.