The Light of the Heart: a Community Art Therapy Project

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.008048 Issued in IL

Legal business name

THE LIGHT OF THE HEART: A COMMUNITY ART THERAPY PROJECT

Practice address

2240 Bannister LN
Aurora, IL 60504-6006

Phone

(640) 486-4078

Fax

(630) 281-5374

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Melissa Jane Hedlund, LCPC

Title

Executive Director

Phone

(630) 486-4078

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1578800744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 BANNISTER LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046006",
            "telephone_number": "640-486-4078",
            "fax_number": "630-281-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 BANNISTER LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046006",
            "telephone_number": "640-486-4078",
            "fax_number": "630-281-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT OF THE HEART: A COMMUNITY ART THERAPY PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "HEDLUND",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-486-4078",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.008048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Teske, LPC
• Nicholas D Testin, DPT
• Tharris Apn LTD
• The Latino Institute of Surgery,LTD
• The Leasenby Clinic
• Theodore J Pauly DDS LTD
• Therapyforce PLLC
• Theus Medical Services LLC
• Tiffany Theus
• Donna M Thibault, RN

• Community/Behavioral Health Agency in Aurora, IL
• Providers in Aurora, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.