Organization Active NPI

Heart and Soul Counseling

  • Marriage & Family Therapist
  • Tahoe Vista, CA
National Provider Identifier
1679284335
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
HEART AND SOUL COUNSELING
Practice address
7005 N Lake Blvd # 166
Tahoe Vista, CA 96148-9800
Phone
(619) 540-4111
NPI assigned
Dec 13, 2022
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Keina Linebarger, LMFTNPI 1528208907
Title
Owner
Phone
(619) 540-4111

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

7005 N Lake Blvd # 166
Tahoe Vista, CA 96148-9800

Mailing address

PO Box 166
Tahoe Vista, CA 96148-0166
Phone (619) 540-4111

Other identifiers 1

IdentifierTypeStateIssuer
1528208907OtherCANPPES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://heartandsoulcounseling.clientsecure.me Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241114001266 CA Part B Supplier - Clinic/Group Practice 3870027717 Receives reassigned benefits from 1 practitioner
Practice locations: Tahoe Vista, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1679284335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "TAHOE VISTA",
            "state": "CA",
            "postal_code": "961480166",
            "telephone_number": "619-540-4111",
            "fax_number": "530-494-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N LAKE BLVD # 166",
            "city": "TAHOE VISTA",
            "state": "CA",
            "postal_code": "961489800",
            "telephone_number": "619-540-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND SOUL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "LINEBARGER",
        "authorized_official_first_name": "KEINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-540-4111",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1528208907",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://heartandsoulcounseling.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Default domain",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7005 N Lake Blvd # 166",
            "city": "Tahoe Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961489800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tahoe Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.