Organization Active NPI

Hearts Respond

  • Mental Health Counselor
  • Palos Verdes Estates, CA
National Provider Identifier
1689297871
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEARTS RESPOND
Practice address
336 Tejon Place
Palos Verdes Estates, CA 90274
Phone
(323) 902-7534
NPI assigned
May 21, 2020
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mr. Gregory Earl Allen, PH. D, LMFNPI 1679841795
Title
Director
Phone
(323) 902-7534

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

336 Tejon Place
Palos Verdes Estates, CA 90274

Mailing address

336 Tejon Place
Palos Verdes Estates, CA 90274
Phone (323) 902-7534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250530002127 CA Part B Supplier - Clinic/Group Practice 4385153535 Receives reassigned benefits from 2 practitioners
Practice locations: Palos Verdes Estates, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1689297871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 TEJON PLACE",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "323-902-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 TEJON PLACE",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "323-902-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS RESPOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-902-7534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH. D, LMF"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Verdes Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.