Tender Hearts Child Therapy Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2008014362 Issued in MO

Legal business name

TENDER HEARTS CHILD THERAPY CENTER, LLC

Practice address

2909 Independence St
Cape Girardeau, MO 63703-5044

Phone

(573) 803-1402

Fax

(573) 803-1405

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Shannon N Anderson, LPCNPI 1093975971

Title

Managing Member/Owner

Phone

(573) 803-1402

Specialties & licenses 1

Addresses

Other names 1

• Heartland Counseling Center Doing business as

Tax ID family

Tender Hearts Child Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tender Hearts Child Therapy Center, LLC

  • Professional Counselor
  • Cape Girardeau, MO
  • NPI 1568777910
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon N Anderson, MA, LPC

  • Professional Counselor
  • Cape Girardeau, MO
  • NPI 1093975971

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1508103151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-803-1402",
            "fax_number": "573-803-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-803-1402",
            "fax_number": "573-803-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER HEARTS CHILD THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "573-803-1402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008014362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ira Scott Taylor, DO
• Philip W Taylor, M.D., FACP
• Michelle Tedrowe, DO
• Susan Teets, RNFA
• Crystal Dawn Tellor
• Tender Hearts Child Therapy Center, LLC
• Teresa Campbell Counseling Services
• Terry L. Brown, DMD, P.C.
• Charles M Tessman Sr., OD
• Rahul Thampi, M.D.

• All providers in Cape Girardeau, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.