Organization Active NPI

Mended Hearts Counseling, LLC

  • Clinical Social Worker
  • Abilene, KS
National Provider Identifier
1457898751
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4131 Issued in KS
Legal business name
MENDED HEARTS COUNSELING, LLC
Practice address
1005 N Buckeye Ave
Abilene, KS 67410-1940
Phone
(785) 341-7931
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Ms. Debby Dimmitt, LSCSW
Title
Owner
Phone
(785) 341-7931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4131 KS Primary

Addresses

Primary practice location

1005 N Buckeye Ave
Abilene, KS 67410-1940

Mailing address

202 NW 10TH St Apt 3
Abilene, KS 67410-2307
Phone (785) 341-7931

National Provider Directory

National Provider Directory

Locations

1005 N Buckeye Ave
Abilene, KS 67410
Phone (785) 236-8612

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1457898751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NW 10TH ST APT 3",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102307",
            "telephone_number": "785-341-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N BUCKEYE AVE",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674101940",
            "telephone_number": "785-341-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED HEARTS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "DIMMITT",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-341-7931",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.