Heartspace Counseling, PLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEARTSPACE COUNSELING, PLC

Practice address

2502 Broadway Ave SW Uppr Unit
Roanoke, VA 24014-1663

Phone

(540) 929-1909

Fax

(877) 775-8177

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin L. Wiley, LPC, RPT-SNPI 1447336441

Title

Owner/Director

Phone

(505) 920-6554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Robin Lynn Wiley, LPCC

  • Professional Counselor
  • Santa Fe, NM
  • NPI 1447336441
  Authorized official Same address or phone

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1770046120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 BROADWAY AVE SW UPPR UNIT",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141663",
            "telephone_number": "540-929-1909",
            "fax_number": "877-775-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 BROADWAY AVE SW UPPR UNIT",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141663",
            "telephone_number": "540-929-1909",
            "fax_number": "877-775-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSPACE COUNSELING, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "505-920-6554",
        "authorized_official_credential": "LPC, RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03871347",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heart Centered Psychiatry LLC
• Heart of an Angel Home Care LLC
• Heartland Home Care LLC (Heartland Home Health Care)
• Heartland Home Care, LLC (ProMedica Hospice (Roanoke))
• Heartland Home Care, LLC (ProMedica Hospice (Roanoke))
• Thomas Lee Heasley, LMFT
• Ashley Nicole Heath, PHARMD
• Robert C Heath, M.D.
• Wendy Heath, RN IBCLC
• William Thomas Heath III, PHARM. D

• Mental Health Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.