HENRY HEIDELBERGER (NPI# 1134643174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134643174 |
| Entity Type | Individual |
| Full Name | HENRY HEIDELBERGER |
| Practice Address |
311 S Central St Clarksville AR 72830-3601 |
| Mailing Address |
Po Box 23070 Barling AR 72923-0070 |
| Practice Telephone | 4794525040 |
| Practice Fax Number | 4794525047 |
| Mailing Telephone | 4794525040 |
| Mailing Fax Number | 4794525047 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
F1707005 | AR | Behavioral Health & Social Service Providers |
| Street Address |
311 S CENTRAL ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093844045 | Amber Plugge | Social Worker | 311 S Central St, Clarksville, AR 72830-3601 | 2007-03-05 |
| 1659905396 | Western Arkansas Counseling and Guidance Center, Inc-rcf Clarksville | Community/Behavioral Health | 311 S Central St, Clarksville, AR 72830-3601 | 2020-03-02 |
| 1093358087 | Donna Hertlein | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2019-10-22 |
| 1922563626 | Sahara Collins | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2019-02-06 |
| 1104321264 | Katie Watkins | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2018-03-29 |
| 1891201893 | Avigail Yanes | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2017-12-28 |
| 1457862062 | Amberlee C. Sinor | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2017-10-23 |
| 1790132553 | Rhianna Vaughn | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2016-05-20 |
| 1851797526 | Melisa Beaty | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2014-11-07 |
| 1235538752 | Jamie Nelson | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2014-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553599 | Spring Forth Counseling | Counselor | 2515 Wilma Rudolph Blvd Ste 107, Clarksville, TN 37040-5824 | 2020-06-22 |
| 1033734843 | Elizabeth Ann Abruzzese | Counselor | 404 Carson Bailey Ct, Clarksville, TN 37043-1543 | 2020-06-08 |
| 1811511595 | Tamika Payne | Counselor | 3407 Queensbury Rd, Clarksville, TN 37042-8152 | 2020-05-29 |
| 1457988370 | Chandra Christine Moma | Counselor | 2517 Remington Trce, Clarksville, TN 37043-1619 | 2020-03-23 |
| 1932735024 | Douglas Anthony Dixon | Counselor | 1611 Johnson Ln, Clarksville, IN 47129-1405 | 2020-03-20 |
| 1023658648 | Aimee Vaughn | Counselor | 3452 Heatherwood Trce, Clarksville, TN 37040-5735 | 2020-01-11 |
| 1811539539 | Phillip Haney | Counselor | 2032 Lintwood Dr, Clarksville, TN 37042-4107 | 2019-10-15 |
| 1396387171 | Phoenix Rising Counseling LLC | Counselor | 2535 Madison St Ste E, Clarksville, TN 37043-3921 | 2019-10-12 |
| 1194371807 | Elizabeth B Thomas | Counselor | 1662 Golf Club Ln, Clarksville, TN 37043-4897 | 2019-08-18 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on HENRY HEIDELBERGER.
| 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.