Organization Active NPI

Hart Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Jamestown, ND
National Provider Identifier
1790083228
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4148 Issued in ND
Legal business name
HART COUNSELING SERVICES PLLC
Practice address
1609 7TH Ave NE
Jamestown, ND 58401-2518
Phone
(701) 320-7005
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Tim E Hart, LICSWNPI 1295043362
Title
President/Ceo
Phone
(701) 320-7005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4148 ND Primary

Addresses

Primary practice location

1609 7TH Ave NE
Jamestown, ND 58401-2518

Mailing address

1609 7TH Ave NE
Jamestown, ND 58401-2518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321000769 ND Part B Supplier - Clinic/Group Practice 8921281403 Receives reassigned benefits from 1 practitioner
Practice locations: Jamestown, ND

National Provider Directory

National Provider Directory

Locations

300 2nd Ave NE
Ste 214
Jamestown, ND 58401
Phone (701) 320-7005

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": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1790083228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 7TH AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 7TH AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012518",
            "telephone_number": "701-320-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HART COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "701-320-7005",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ND",
            "license": "4148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.