Myra Jean Heckenlaible-Gotto, L.P.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP4507 Issued in MN

Practice address

1450 Highway 60 71 N
Windom, MN 56101-2025

Phone

(605) 334-7713

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agape Counseling Center, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Windom, MN
  • NPI 1063744662
  NPD (past)
• Stronghold Counseling Services Inc

  • Counselor
  • Sioux Falls, SD
  • NPI 1093790891
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801955315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S MINNESOTA AVE",
            "address_2": "SUITE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044871",
            "telephone_number": "605-334-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 HIGHWAY 60 71 N",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561012025",
            "telephone_number": "605-334-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKENLAIBLE-GOTTO",
        "first_name": "MYRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Noel Hager, LADC
• Kathleen Joan Harder, NP
• Hartberg Medical Clinic P.a.
• Steven Paul Hartberg, M.D.
• Jennifer Haugen-Hesse
• Hedman Chiropractic Center LLC
• Brian Lee Hedman, D.C.
• Laridee Herding, DPT
• Kiana Marie Cullinan Hiemstra, DDS
• James C Hinshaw, MD

• Counseling Psychologist in Windom, MN
• Providers in Windom, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.