Active NPI
Hearthstone Therapy Services LLC.
- Mental Health Counselor
- Madras, OR
National Provider Identifier
1538935721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HEARTHSTONE THERAPY SERVICES LLC.
- Practice address
- 404 NW Birch LN
Madras, OR 97741-9082 - Phone
- (541) 675-8002
- Fax
- (541) 460-5593
- NPI assigned
- Nov 28, 2023
- Last updated
- Nov 28, 2023
- 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
- Laurie Fay Dawkins, LPC
- Title
- Owner/Therapist
- Phone
- (541) 675-8002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
404 NW Birch LN
Madras, OR 97741-9082
Mailing address
380 S 5TH St # 313
Madras, OR 97741-1352
Phone (541) 675-8002
National Provider Directory
National Provider DirectoryLocations
380 S 5th St
Madras, OR 97741
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": "1701129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701129600000",
"number": "1538935721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 S 5TH ST # 313",
"city": "MADRAS",
"state": "OR",
"postal_code": "977411352",
"telephone_number": "541-675-8002",
"fax_number": "541-460-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 NW BIRCH LN",
"city": "MADRAS",
"state": "OR",
"postal_code": "977419082",
"telephone_number": "541-675-8002",
"fax_number": "541-460-5593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTHSTONE THERAPY SERVICES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A",
"authorized_official_last_name": "DAWKINS",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "FAY",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "541-675-8002",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madras, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.