HEARTLAND FAMILY SERVICE (NPI# 1477612521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477612521 |
| Entity Type | Organization |
| Organization Name | HEARTLAND FAMILY SERVICE |
| Other Organization Name | FAMILY SERVICE |
| Practice Address |
2912 9th Ave Council Bluffs IA 51501-5880 |
| Mailing Address |
2101 S 42nd St Omaha NE 68105-2909 |
| Practice Telephone | 7123251331 |
| Practice Fax Number | 7123251345 |
| Mailing Telephone | 4025533000 |
| Mailing Fax Number | 4025533133 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | JOHN JEANETTA (PRESIDENT CEO) |
| Authorized Official Telephone | 4025527402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Family Service | Former Legal Business Name - Organization |
| 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 |
| 1053588582 | Heartland Family Service | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2008-05-14 |
| 1750559332 | Heartland Family Service | Counselor | 4847 Sahler St, Omaha, NE 68104-5203 | 2008-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HEARTLAND FAMILY SERVICE | 2101 S 42nd St, Omaha, NE 68105 |
| Street Address |
2912 9TH AVE |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-5880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316745 | Meliss Luce | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2019-09-30 |
| 1639649882 | Stacie Acox | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2018-11-30 |
| 1679057657 | Mindy Sue Wright | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2018-09-17 |
| 1487151254 | Bayli Ellis | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2018-04-09 |
| 1588108310 | Erin Feind | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2016-12-13 |
| 1962864173 | Ashley Schrad | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2016-03-26 |
| 1407217888 | Bailey Janssen | Social Worker | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2016-03-14 |
| 1124489505 | Teonette Tellis | Social Worker | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2016-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| 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 |
|---|---|---|---|---|
| 1295209146 | Heartland Family Service | Counselor | 1415 Avenue J, Council Bluffs, IA 51501-1168 | 2019-01-14 |
| 1669904421 | Heartland Family Service | Counselor | 208 S 25th St, Council Bluffs, IA 51501-3617 | 2017-03-31 |
| 1376850016 | Grant Thomas Willms | Counselor | 20 Frank St, Council Bluffs, IA 51503-4460 | 2010-09-01 |
| 1093982118 | Brenda L Ticknor | Counselor | 427 E. Kanesville Blvd., Suite 308, Council Bluffs, IA 51503-4499 | 2008-05-08 |
| 1982639050 | Deborah Ann Grund | Counselor | 102 W Broadway Ste 201, Council Bluffs, IA 51503-4311 | 2006-07-11 |
| 1457978397 | Grace Meissner | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2020-06-26 |
| 1801422456 | Heather Reikofski | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2020-03-16 |
| 1699316745 | Meliss Luce | Counselor | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2019-09-30 |
| 1972156313 | Eliot Pozehl | Counselor | 803 3rd Ave, Council Bluffs, IA 51501-4101 | 2019-07-23 |
| 1801458815 | Aunna Strutzenberg | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2019-07-01 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
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.