NPIMap

Organization Active NPI

Heartland Therapeutic Services, LLC

  • Mental Health Counselor
  • Skiatook, OK
National Provider Identifier
1669945804
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEARTLAND THERAPEUTIC SERVICES, LLC
Practice address
102 W Rogers Blvd. Skiatook
Skiatook, OK 74070-7407
Phone
(918) 724-4779
Fax
(888) 284-2781
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Terrill Paul Watson, LPCNPI 1407985229
Title
Owner-Counseling
Phone
(918) 724-4779

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

102 W Rogers Blvd. Skiatook
Skiatook, OK 74070-7407

Mailing address

4198 Hobby Horse LN
Skiatook, OK 74070-9361
Phone (918) 724-4779

Other identifiers 1

IdentifierTypeStateIssuer
1407985229OtherOKNPPES

Other names 1

  • Heartland Therapeutic Services Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

102 W Rogers Blvd
Skiatook, OK 74070
Phone (918) 724-4779

500 W Rogers Blvd
Skiatook, OK 74070

Practitioners & affiliated clinicians

Practitioners 2

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": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1669945804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4198 HOBBY HORSE LN",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740709361",
            "telephone_number": "918-724-4779",
            "fax_number": "888-284-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W ROGERS BLVD. SKIATOOK",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740707407",
            "telephone_number": "918-724-4779",
            "fax_number": "888-284-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER-COUNSELING",
        "authorized_official_telephone_number": "918-724-4779",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1407985229",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "Cloud based HIPPA compliant",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "625 S 5th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850042624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heartland Therapeutic Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Heartland Therapeutic Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Skiatook, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.