NICOLE ANN HEENAN (NPI# 1639736572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639736572 |
| Entity Type | Individual |
| Full Name | NICOLE ANN HEENAN |
| Practice Address |
518 6th St Ste 4 Rapid City SD 57701-5000 |
| Mailing Address |
Po Box 3634 Rapid City SD 57709-3634 |
| Practice Telephone | 6059390340 |
| Mailing Telephone | 6056453373 |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2019-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC20383 | SD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 803 Soo San Dr, Rapid City, SD 577023142 | 6053437297 |
| Street Address |
518 6TH ST STE 4 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219390 | Deborah Ann Dobbins | Counselor | 321 Kansas City St Ste 120, Rapid City, SD 57701-3086 | 2020-09-11 |
| 1053938456 | Sarah E Swantner | Counselor | 1010 9th St Ste 13, Rapid City, SD 57701-3782 | 2020-07-01 |
| 1770125874 | Jacob John Folstrom | Counselor | 2902 W Main St, Rapid City, SD 57702-8132 | 2019-10-10 |
| 1548829161 | Jacquelyn Nicole Galles | Counselor | 4447 S Canyon Rd Ste 5, Rapid City, SD 57702-1889 | 2019-06-07 |
| 1447724745 | Monica Brennan | Counselor | 2811 Wilkie Dr Apt 304, Rapid City, SD 57702-9775 | 2019-01-20 |
| 1184151946 | Individual and Family Counseling | Counselor | 2650 Jackson Blvd # 198, Rapid City, SD 57702-3474 | 2017-05-11 |
| 1679027569 | Gammeter&associates LLC | Counselor | 8008 Pathfinder Pl, Rapid City, SD 57702-9171 | 2016-08-08 |
| 1770944498 | Richard Scott Wiley | Counselor | 4951 Hansen Ln, Rapid City, SD 57703-0147 | 2016-03-08 |
| 1164890661 | Torno Mediation & Mental Health Services, LLC | Counselor | 324 Saint Joseph St Ste 202, Rapid City, SD 57701-2829 | 2015-09-14 |
| 1902204894 | Delain Kay Johnson | Counselor | 1501 Centre St, Suite 106, Rapid City, SD 57703-3002 | 2014-12-09 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on NICOLE ANN HEENAN.
| 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.