Active NPI
Heartland Embrace
- Professional Counselor
- Waupaca, WI
National Provider Identifier
1912475138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- HEARTLAND EMBRACE
- Practice address
- E3443 Apple Tree LN
Waupaca, WI 54981-7801 - Phone
- (715) 412-4957
- Fax
- (715) 258-9698
- NPI assigned
- Nov 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy M Curtis, LPC
- Title
- Clinic Director
- Phone
- (715) 412-4957
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
E3443 Apple Tree LN
Waupaca, WI 54981-7801
Mailing address
PO Box 384
Waupaca, WI 54981-0384
Phone (715) 412-4957
National Provider Directory
National Provider DirectoryLocations
E3443 Apple Tree Ln
Waupaca, WI 54981
Phone (715) 412-4957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541462400000",
"number": "1912475138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 384",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549810384",
"telephone_number": "715-412-4957",
"fax_number": "715-258-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E3443 APPLE TREE LN",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549817801",
"telephone_number": "715-412-4957",
"fax_number": "715-258-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND EMBRACE",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "715-412-4957",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waupaca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.