Organization Active NPI

Heartland Mental Health Therapy LLC

  • Clinical Social Worker
  • Ames, IA
National Provider Identifier
1780119461
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072644 Issued in IA
Legal business name
HEARTLAND MENTAL HEALTH THERAPY LLC
Practice address
328 Main St
Suite # 214
Ames, IA 50010-6162
Phone
(515) 520-9703
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
John McInnerney, LISW, CADC
Title
Owner/Therapist
Phone
(515) 556-9580

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 13009 IA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 072644 IA Primary

Addresses

Primary practice location

328 Main St
Suite # 214
Ames, IA 50010-6162

Mailing address

334 24TH St
Ames, IA 50010-4867

National Provider Directory

National Provider Directory

Locations

328 Main St
Ste 214
Ames, IA 50010
Phone (515) 520-9703

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1780119461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 24TH ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MAIN ST",
            "address_2": "SUITE # 214",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106162",
            "telephone_number": "515-520-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MENTAL HEALTH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "MCINNERNEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "515-556-9580",
        "authorized_official_credential": "LISW, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "13009",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "072644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.