ELIZA WOODWARD HARTLEY
NPI 1215671557
Counselor in Mendota Heights, MN

Q: What is Eliza Hartley's NPI number?

The NPI number for Eliza Hartley is 1215671557. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Q: What is Eliza Hartley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Eliza Hartley was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 22, 2022PECOS Enrolled

1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120(612) 223-8898 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eliza Woodward Hartley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZA WOODWARD HARTLEY (NPI 1215671557) is an individual counselor in Mendota Heights, Minnesota and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215671557

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameELIZA WOODWARD HARTLEY

Location Address1155 NORTHLAND DRMendota Heights, MN 55120-1288

Mailing Address5 Sparrow LnNorth Oaks, MN 55127-6453 · (651) 492-4770

Phone(612) 223-8898

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 22, 2022

Last NPPES UpdateApril 20, 2023

NPPES CertifiedApril 20, 2023

✔ NPI 1215671557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1155 NORTHLAND DR, Mendota Heights, MN 55120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eliza Woodward Hartley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739601303

PECOS Enrollment IDI20250324002434

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HANNAH RUTH BEAUCLAIRE MSW, LICSW

Social Worker (Clinical)