HEARTLAND FAMILY SERVICE (NPI# 1053588582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053588582 |
| Entity Type | Organization |
| Organization Name | HEARTLAND FAMILY SERVICE |
| Practice Address |
4318 Fort St Omaha NE 68111-1849 |
| Mailing Address |
2101 S 42nd St Omaha NE 68105-2909 |
| Practice Telephone | 4025527020 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | DIANA ROBERTS (PSYCH PD) |
| Authorized Official Telephone | 4025527459 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEARTLAND FAMILY SERVICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295209146 | Heartland Family Service | Counselor | 1415 Avenue J, Council Bluffs, IA 51501-1168 | 2019-01-14 |
| 1447742036 | Heartland Family Service | Counselor | 622 S 4th St, Council Bluffs, IA 51503-9005 | 2018-05-31 |
| 1669904421 | Heartland Family Service | Counselor | 208 S 25th St, Council Bluffs, IA 51501-3617 | 2017-03-31 |
| 1639562069 | Heartland Family Service | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2015-03-10 |
| 1871903898 | Heartland Family Service | Counselor | 1875 S 75th St Apt 107, Omaha, NE 68124-1736 | 2014-04-29 |
| 1063647311 | Heartland Family Service | Counselor | 1722 Ave C, Council Bluffs, IA 51501-2440 | 2009-05-15 |
| 1720238371 | Heartland Family Service | Counselor | 1503 Avenue J, Council Bluffs, IA 51501-1170 | 2008-09-19 |
| 1710136841 | Heartland Family Service | Counselor | 1515 Avenue J, Council Bluffs, IA 51501-1170 | 2008-09-12 |
| 1750559332 | Heartland Family Service | Counselor | 4847 Sahler St, Omaha, NE 68104-5203 | 2008-02-15 |
| 1477612521 | Heartland Family Service | Clinic/Center | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2006-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HEARTLAND FAMILY SERVICE | 2101 S 42nd St, Omaha, NE 68105 |
| Street Address |
4318 FORT ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906408 | Sheila A Nolan | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2020-09-10 |
| 1790251767 | Pamela Galles | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2018-10-17 |
| 1184169955 | Celeste Florea | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2017-01-03 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| 1922464239 | Brooke Bertling | Speech-Language Pathologist | 3775 Curtis Ave, Omaha, NE 68111-1169 | 2016-01-04 |
| Find all providers in zip 68111 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930386 | Harry D Washington IIi | Counselor | 1299 Farnam, Omaha, NE 68105-6811 | 2020-07-23 |
| 1003432386 | Judi Scott | Counselor | 9733 Grant St, Omaha, NE 68134-5619 | 2020-06-22 |
| 1508481086 | William Sean Mcneil | Counselor | 3128 N 168th Ave, Omaha, NE 68116-2614 | 2020-06-10 |
| 1063048114 | Tiffany Gormley | Counselor | 18047 Oak St, Omaha, NE 68130-6093 | 2020-03-20 |
| 1851939565 | Mat Lavern Zollicoffer | Counselor | 1502 N 58th St, Omaha, NE 68104-4820 | 2019-12-12 |
| 1184269235 | Gary Darryl Mosley Sr. | Counselor | Tamarak Building Suite 101 G, 3035 Harney Street, Omaha, NE 68131-3500 | 2019-11-13 |
| 1437792439 | Lisa Ann Osler | Counselor | 1301 S 31st St Apt 15, Omaha, NE 68105-2048 | 2019-10-22 |
| 1154970176 | Loren Dexter | Counselor | 13808 U St, Omaha, NE 68137-2904 | 2019-09-11 |
| 1912550823 | Kelley A Lutjen | Counselor | 401 S 39th St, Omaha, NE 68131-3710 | 2019-07-19 |
| 1356908735 | David Brinkerhoff Ballard IIi | Counselor | 902 N 95th Plz Apt 5, Omaha, NE 68114-2561 | 2019-05-21 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on HEARTLAND FAMILY SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.