Organization Active NPI

Heartland Counseling Center Inc

  • Community/Behavioral Health Agency
  • Pocatello, ID
National Provider Identifier
1467617001
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-529 Issued in ID
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Ms. Crete Brown, MSW, LCSWNPI 1407947096
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.