Healing Heart and Mind Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEALING HEART AND MIND COUNSELING, LLC

Practice address

222 E Grand Ave
Suite 300
Ponca City, OK 74601-4316

Phone

(580) 491-1671

NPI assigned

Jul 1, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica A Kozarevich, LPCNPI 1609188291

Title

Owner

Phone

(580) 491-1671

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ann Kozarevich, LPC

  • Mental Health Counselor
  • Ponca City, OK
  • NPI 1609188291
  NPD (past) Authorized official
• Renee Pauline Young

  • Mental Health Counselor
  • Ponca City, OK
  • NPI 1396095501
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1821403643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E GRAND AVE",
            "address_2": "SUITE 300",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014316",
            "telephone_number": "580-491-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E GRAND AVE",
            "address_2": "SUITE 300",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014316",
            "telephone_number": "580-491-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEART AND MIND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "KOZAREVICH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-491-1671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Harrison, PTA
• Samantha Harrison
• Julia Hays
• Lorrie Hazard, B.S., B.H.R.S.
• Quailla Marrianne Hazen
• Healthback of Central Oklahoma, Inc.
• Heartland Hearing Aid Center
• Roberta Heath, BHRS
• Jessica Marie Helm, COTA/L
• Tara Hembree

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.