Heart Space Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEART SPACE COUNSELING

Practice address

1962 Mae St
Ashland, OR 97520-2523

Phone

(805) 750-2433

NPI assigned

Nov 12, 2024

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradlie Carpenter

Title

Credentialing

Phone

(978) 906-0418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1528882982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE 19TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 MAE ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202523",
            "telephone_number": "805-750-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SPACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "BRADLIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "978-906-0418"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Hawthorn, LMT
• Kasey Wedding Hayden
• Eileen Hayes, MSW
• Jennifer Dawn Head
• Mason Elric Healy-Patterson, MS, PCA
• Heart Waters Massage LLC
• Heather Bakner Lac (Sacred Spaces Healing Arts)
• Kristi Gail Heatherstone, L.AC., M.AC.
• Clifton Barclay Hebert, M.D.
• Lindsey Margaret Hegdahl, P.T.

• Clinical Social Worker in Ashland, OR
• Providers in Ashland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.