HERITAGE NW CONSULTING LLC (NPI# 1538630850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538630850 |
| Entity Type | Organization |
| Organization Name | HERITAGE NW CONSULTING LLC |
| Other Organization Name | HERITAGE NW CONSULTING LLC |
| Practice Address |
4107 Nw Fruit Valley Rd Ste K Vancouver WA 98660-1275 |
| Mailing Address |
Po Box 873303 Vancouver WA 98687-3303 |
| Practice Telephone | 8032017955 |
| Mailing Telephone | 8032017955 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | TARA KAY KLEINSCHMIDT (CASE WORKER) |
| Authorized Official Telephone | 8032017955 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Heritage NW Consulting LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HERITAGE NW CONSULTING LLC | 6029 Ne 63rd St, A-101, Vancouver, WA 98661-1947 |
| Street Address |
4107 NW FRUIT VALLEY RD STE K |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023576410 | Tara Kay Kleinschmidt | Counselor | 4107 Nw Fruit Valley Rd Ste K, Vancouver, WA 98660-1275 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366067803 | Darcy Jacquet | Counselor | 7708 Ne 78th St, Vancouver, WA 98662-3603 | 2020-06-10 |
| 1942832381 | Dena M Alt | Counselor | 8000 Ne 139th Ave, Vancouver, WA 98682-3337 | 2020-02-04 |
| 1669019659 | Heather Alexandra Smith | Counselor | 6221 Ne Fourth Plain Blvd, Suite 130, Vancouver, WA 98661-7210 | 2019-12-09 |
| 1790327807 | Ly Khim | Counselor | 1601 E 4th Plain Blvd Bldg 17m, Vancouver, WA 98661-3717 | 2019-10-09 |
| 1922665090 | Lindsey Beth Lapore | Counselor | 6221 Ne Fourth Plain Blvd Apt 120, Vancouver, WA 98661-7210 | 2019-05-23 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1629549878 | Christine M Kille | Counselor | 4107 Nw Fruit Valley Rd Ste J, Vancouver, WA 98660-1275 | 2018-12-16 |
| 1356847008 | Brotherhood of The Broken | Counselor | 5411 Ne 107th Ave Ste 101, Vancouver, WA 98662-6347 | 2018-04-02 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1477075091 | Justin Scott Schultz | Counselor | 1601 E 4th Plain Blvd # A212, Vancouver, WA 98661-3713 | 2017-07-14 |
| Find all providers in VANCOUVER | ||||
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| 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.