Head to Heart Integrative Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEAD TO HEART INTEGRATIVE COUNSELING LLC

Practice address

208 S Rogers Rd
Louisburg, KS 66053-4064

Phone

(913) 735-9073

Fax

(913) 937-4434

NPI assigned

Jul 10, 2019

Last updated

Sep 19, 2022By 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

Mandi Shrock, LCPCNPI 1821650326

Title

Owner

Phone

(913) 735-9073

Specialties & licenses 3

Addresses

Locations

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.

• Mandi Shrock, LPC, NCC

  • Mental Health Counselor
  • Gardner, KS
  • NPI 1821650326
  NPD Authorized official

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1629620679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 W 151ST ST # 179",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232231",
            "telephone_number": "913-735-9073",
            "fax_number": "913-937-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S ROGERS RD",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660534064",
            "telephone_number": "913-735-9073",
            "fax_number": "913-937-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD TO HEART INTEGRATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "SHROCK",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-735-9073",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisburg, KS
• Providers in Louisburg, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.