Active NPI
Heartland Counseling Center Inc
- Community/Behavioral Health Agency
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LCSW-529
- Legal business name
- HEARTLAND COUNSELING CENTER INC
- Practice address
- 303 N 12TH Ave
Pocatello, ID 83201-4746 - Phone
- (208) 251-2400
- Fax
- (208) 233-4224
- NPI assigned
- Jul 23, 2008
- Last updated
- Oct 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Crete Brown, MSW, LCSW
- Title
- President/Director
- Phone
- (208) 251-2400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LCSW-529 | ID | Primary |
Addresses
Primary practice location
303 N 12TH Ave
Pocatello, ID 83201-4746
Mailing address
303 N 12TH Ave
Pocatello, ID 83201-4746
Phone (208) 251-2400
National Provider Directory
National Provider DirectoryLocations
303 N 12th Ave
Pocatello, ID 83201
Phone (208) 251-2400
Practitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Pocatello, ID
- NPI 1407947096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1467617001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N 12TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014746",
"telephone_number": "208-251-2400",
"fax_number": "208-233-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N 12TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014746",
"telephone_number": "208-251-2400",
"fax_number": "208-233-4224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND COUNSELING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-23",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "CRETE",
"authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
"authorized_official_telephone_number": "208-251-2400",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ID",
"license": "LCSW-529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.