NPIMap

Organization Active NPI

Healing Hearts Family Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sun Prairie, WI
National Provider Identifier
1972824571
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALING HEARTS FAMILY COUNSELING CENTER, LLC
Practice address
1268 W Main St
Sun Prairie, WI 53590-1930
Phone
(608) 834-1122
Fax
(702) 664-6958
NPI assigned
Jun 17, 2010
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mrs. Amanda Field
Title
Billing Specialist
Phone
(608) 834-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1268 W Main St
Sun Prairie, WI 53590-1930

Mailing address

1268 W Main St
Sun Prairie, WI 53590-1930
Phone (608) 834-1122

Other practice location 1

2574 Sun Valley Dr Ste 207
Delafield, WI 53018-2334
Phone (608) 834-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141112000833 WI Part B Supplier - Clinic/Group Practice 8527280353 Receives reassigned benefits from 3 practitioners
Practice locations: Delafield, WI; Sun Prairie, WI

National Provider Directory

National Provider Directory

Locations

2829 Royal Ave
Monona, WI 53713
Phone (608) 661-2829

1268 W Main St
Sun Prairie, WI 53590
Phone (608) 834-1122

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1972824571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901930",
            "telephone_number": "608-834-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901930",
            "telephone_number": "608-834-1122",
            "fax_number": "702-664-6958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2574 Sun Valley Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Delafield",
            "state": "WI",
            "postal_code": "530182334",
            "country_code": "US",
            "telephone_number": "608-834-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HEARTS FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2024-07-29",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "608-834-1222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.