Heartland Psychotherapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

23463 Issued in MN

Legal business name

HEARTLAND PSYCHOTHERAPY LLC

Practice address

5249 Chicago Ave Ste 204
Minneapolis, MN 55417-1706

Phone

(612) 404-0498

Fax

(888) 974-8249

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Ann Laurel Steely, MSW, LICSW, LADCNPI 1821407172

Title

Owner

Phone

(612) 404-0498

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Ann Laurel Person Steely, MSW, LICSW, LADC

  • Social Worker
  • Minneapolis, MN
  • NPI 1821407172

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Nicole Petersen, MA, LPCC

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1063247237
  Medicare reassignment
• Trevor Todd Peterson

  • Counselor
  • Minneapolis, MN
  • NPI 1780524595
  Medicare reassignment

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1649768359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 CHICAGO AVE STE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171706",
            "telephone_number": "612-404-0498",
            "fax_number": "888-974-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 CHICAGO AVE STE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171706",
            "telephone_number": "612-404-0498",
            "fax_number": "888-974-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "STEELY",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-404-0498",
        "authorized_official_credential": "MSW, LICSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "23463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heartspring, LLC
• Jacqueline Heath
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• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.