MR. JAMES A HEACOCK


Address: 3564 Mckinley St Ne, Minneapolis, MN 55418-1511
Phone: 6129781748

MR. JAMES A HEACOCK (NPI# 1700952850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700952850
Entity Type Individual
Full Name MR. JAMES A HEACOCK
Credential MS, LMFT
Practice Address 3564 Mckinley St Ne
Minneapolis
MN 55418-1511
Practice Telephone 6129781748
Enumeration Date 2006-11-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 1350 MN Behavioral Health & Social Service Providers

Other Providers JAMES HEACOCK

NPI Name Taxonomy Address Enumeration
1992778153 James K Heacock Internal Medicine 1640 Highway 88, Suite 203, Brick, NJ 08724-3036 2006-02-08

Office Location

Street Address 3564 MCKINLEY ST NE
City MINNEAPOLIS
State MN
Zip Code 55418-1511

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1477934438 Hybrid Behavioral Health Community/Behavioral Health 2221 Polk St Ne, Minneapolis, MN 55418 2015-06-16
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851904536 Eric Anfinson Marriage & Family Therapist 2835 Emerson Ave S # Cn316, Minneapolis, MN 55408-1388 2020-08-24
1649806118 Jessica Diane Finney Marriage & Family Therapist 314 Clifton Ave Ste 301, Minneapolis, MN 55403-3235 2020-03-17
1912545146 Andrea Queen Langford Marriage & Family Therapist 1201 W Broadway Ave, Minneapolis, MN 55411-2532 2019-12-18
1780229567 Melanie Faulhaber Marriage & Family Therapist 5645 13th Ave S, Minneapolis, MN 55417-2526 2019-11-15
1144877143 Transcend Psychotherapy, Pllc Marriage & Family Therapist 1900 Hennepin Ave Ste 201205, Minneapolis, MN 55403-3160 2019-08-23
1336795301 Kazoua Vang Marriage & Family Therapist 2021 E Hennepin Ave Ste 475, Minneapolis, MN 55413-1870 2019-08-14
1013569649 Kellie Lynn Kamm Marriage & Family Therapist 525 Portland Avenue, Mc 963, Minneapolis, MN 55415-1533 2019-07-13
1811557184 Christina Maria Jobelius Marriage & Family Therapist 3012 W 44th St, Minneapolis, MN 55410-1553 2019-06-18
1932769403 Sarita M Tabor Marriage & Family Therapist 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2047 2019-06-17
1265992994 Apollo Counseling Inc. Marriage & Family Therapist 6909 Mccauley Trl S, Minneapolis, MN 55439-1068 2019-03-20
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55418

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Dataset Information

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.

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