Organization Active NPI

Heritage Interfaith Counseling Center

  • Community/Behavioral Health Agency
  • Battle Creek, MI
National Provider Identifier
1972770816
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HERITAGE INTERFAITH COUNSELING CENTER
Practice address
9 Heritage Oak Lane
Suite 1 & 3 Heritage Interfaith Counseling Center
Battle Creek, MI 49015-4281
Phone
(269) 979-5180
Fax
(269) 964-1699
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Roy Gerald Testolin, MDIV DMIN
Title
Owner
Phone
(269) 979-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9 Heritage Oak Lane
Suite 1 & 3 Heritage Interfaith Counseling Center
Battle Creek, MI 49015-4281

Mailing address

9 Heritage Oak Lane
Suite 1 & 3 Heritage Interfaith Counseling Center
Battle Creek, MI 49015-4281
Phone (269) 979-5180

Other identifiers 1

IdentifierTypeStateIssuer
007506456OtherAETNA INS

National Provider Directory

National Provider Directory

Locations

9 Heritage Oak Ln
Ste 1
Battle Creek, MI 49015
Phone (269) 979-5180

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1972770816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HERITAGE OAK LANE",
            "address_2": "SUITE 1 & 3 HERITAGE INTERFAITH COUNSELING CENTER",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154281",
            "telephone_number": "269-979-5180",
            "fax_number": "269-964-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HERITAGE OAK LANE",
            "address_2": "SUITE 1 & 3 HERITAGE INTERFAITH COUNSELING CENTER",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154281",
            "telephone_number": "269-979-5180",
            "fax_number": "269-964-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE INTERFAITH COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "TESTOLIN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-979-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDIV DMIN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "007506456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.