Organization Active NPI

Heynen-Cronin Mental Health & Wellness Services, LLC

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1770848251
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH2133 Issued in SD
Legal business name
HEYNEN-CRONIN MENTAL HEALTH & WELLNESS SERVICES, LLC
Practice address
703 4TH St
Rapid City, SD 57701-3601
Phone
(605) 348-0905
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Heather Jean Heynen, LPC-MH
Title
Owner
Phone
(605) 348-0905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC-MH2133 SD Primary

Addresses

Primary practice location

703 4TH St
Rapid City, SD 57701-3601

Mailing address

703 4TH St
Rapid City, SD 57701-3601
Phone (605) 348-0905

Other identifiers 1

IdentifierTypeStateIssuer
6576082MedicaidSD

National Provider Directory

National Provider Directory

Locations

703 4th St
Rapid City, SD 57701
Phone (605) 348-0905

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1770848251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 4TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013601",
            "telephone_number": "605-348-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 4TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013601",
            "telephone_number": "605-348-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYNEN-CRONIN MENTAL HEALTH & WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "HEYNEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-348-0905",
        "authorized_official_credential": "LPC-MH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6576082",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.