Organization Active NPI

Heartland Embrace

  • Professional Counselor
  • Waupaca, WI
National Provider Identifier
1912475138
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Nov 6, 2018

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.