Organization Active NPI

Heart Space Counseling

  • Mental Health Counselor
  • Grosse Pointe Farms, MI
National Provider Identifier
1962270504
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEART SPACE COUNSELING
Practice address
382 Hillcrest Ave
Grosse Pointe Farms, MI 48236-3150
Phone
(313) 522-2870
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Katharina Goebel, MA, LPCNPI 1215523436
Title
Member
Phone
(313) 552-2870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

382 Hillcrest Ave
Grosse Pointe Farms, MI 48236-3150

Mailing address

382 Hillcrest Ave
Grosse Pointe Farms, MI 48236-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208003475 MI Part B Supplier - Clinic/Group Practice 9436592250 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Pointe Farms, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1962270504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 HILLCREST AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 HILLCREST AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363150",
            "telephone_number": "313-522-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SPACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "KATHARINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-552-2870",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.