Organization Active NPI

Hearts to Heal Counseling and Consultation

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1669141909
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEARTS TO HEAL COUNSELING AND CONSULTATION
Practice address
2512 Norman Ter NW
Huntsville, AL 35810-3926
Phone
(256) 783-5957
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Lakrisha Coleman, LICSWNPI 1891163390
Title
Owner
Phone
(256) 783-5957

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2512 Norman Ter NW
Huntsville, AL 35810-3926

Mailing address

2512 Norman Ter NW
Huntsville, AL 35810-3926
Phone (256) 783-5957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415000574 AL Part B Supplier - Clinic/Group Practice 6103265889 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

1100 Jordan Ln NW
Ste M
Huntsville, AL 35816
Phone (256) 932-2475

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1669141909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 NORMAN TER NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103926",
            "telephone_number": "256-783-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 NORMAN TER NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103926",
            "telephone_number": "256-783-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS TO HEAL COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LAKRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-783-5957",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.