Heart Source Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

149014484 Issued in IL

Legal business name

HEART SOURCE THERAPY

Practice address

33 E Colorado Ave
Frankfort, IL 60423-1385

Phone

(708) 837-3319

Fax

(630) 262-3383

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Gale Nienhuis, LCPCNPI 1104043181

Title

Owner

Phone

(708) 837-3319

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Gale Nienhuis, LCSW

  • Clinical Social Worker
  • Crete, IL
  • NPI 1104043181
  NPD (past) Authorized official
• Diane Nickless

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1891221974
  NPD (past)
• Ann M Polodna, LCPC

  • Professional Counselor
  • Orland Hills, IL
  • NPI 1780713446
  NPD (past)

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1902146202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231385",
            "telephone_number": "708-837-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231385",
            "telephone_number": "708-837-3319",
            "fax_number": "630-262-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SOURCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "NIENHUIS",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-837-3319",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "149014484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Haverstock
• Dana Ann Hawkins, MS, CCC-SLP
• Head to Toe Health & Wellness (Natural Health & Wellness Center)
• Healing Partners Health Services LLC
• Hearing and Balance Specialists of Illinois LLC.
• Heartfelt Medical PLLC
• Heartland Home Care LLC (Heartland Home Health Care)
• Heartsource Therapy PC
• Alan Jeffery Heath, D.D.S.
• Therese Marie Heenan, DO

• Professional Counselor in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.