Heartwise Healing LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HEARTWISE HEALING LLC

Practice address

625 Walden Cir Apt 103
Boulder, CO 80305-7606

Phone

(732) 325-5802

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caroline Lee, LCSWNPI 1932847597

Title

Social Worker

Phone

(732) 325-5802

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Caroline Lee, LCSW

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1932847597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1821777095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WALDEN CIR APT 103",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803057606",
            "telephone_number": "732-325-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WALDEN CIR APT 103",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803057606",
            "telephone_number": "732-325-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTWISE HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "732-325-5802",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart and Sol Speech Therapy
• Heart Centered Counseling, PC (LifeStance Health)
• Heartfully Bolder OT, LLC
• Heartnest Home Care LLC
• Heartsease Counseling LLC
• Heather a Meinke LLC
• Nan E Hebert, MA, PHD(C), LPCC
• Jenny Hecht, LCSW
• Matthew Heermann, PSY.D.
• Kimberly Heestand

• Adult Mental Health Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.