Individual provider Active NPI

Heather A Hart

  • Marriage & Family Therapist
  • Kokomo, IN
National Provider Identifier
1710531751
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002156A Issued in IN
Practice address
217 E Southway Blvd Ste 101
Kokomo, IN 46902-3577
Phone
(765) 201-0025
Fax
(765) 319-0585
NPI assigned
Jul 29, 2019
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002156A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

217 E Southway Blvd Ste 101
Kokomo, IN 46902-3577

Mailing address

217 E Southway Blvd Ste 101
Kokomo, IN 46902-3577
Phone (765) 318-6530

Other practice location 1

194 E Southway Blvd
Kokomo, IN 46902-3650
Phone (765) 318-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201004445 IN Practitioner - Marriage and Family Therapist 2567815897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychotherapy Associates of Kokomo, LLCGroup PAC ID 0143646323, 2 clinicians

Practice addresses (Care Compare)

217 E Southway Blvd
Suite 101
Kokomo, IN 46902-3577
Phone (765) 201-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35002156AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Family Counseling LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

194 E Southway Blvd
Kokomo, IN 46902
Phone (765) 450-4843

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1710531751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD STE 101",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023577",
            "telephone_number": "765-318-6530",
            "fax_number": "765-319-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD STE 101",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023577",
            "telephone_number": "765-201-0025",
            "fax_number": "765-319-0585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 E Southway Blvd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023650",
            "country_code": "US",
            "telephone_number": "765-318-6530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "HEATHER",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002156A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.