NPIMap

Organization Active NPI

Heartfelt Therapy LLC

  • Community/Behavioral Health Agency
  • Lakeville, MN
National Provider Identifier
1740653575
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15625 Issued in MN
Legal business name
HEARTFELT THERAPY LLC
Practice address
17439 Isleton Ave
Lakeville, MN 55044-9693
Phone
(612) 280-3048
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Traci Lyn Weise, LICSW
Title
Owner
Phone
(612) 280-3048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15625 MN Primary

Addresses

Primary practice location

17439 Isleton Ave
Lakeville, MN 55044-9693

Mailing address

17439 Isleton Ave
Lakeville, MN 55044-9693
Phone (612) 280-3048

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1740653575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17439 ISLETON AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449693",
            "telephone_number": "612-280-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17439 ISLETON AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449693",
            "telephone_number": "612-280-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTFELT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "WEISE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-280-3048",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "15625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.