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HEARTLAND BEHAVIORAL HEALTH LLC
NPI 1295365054
Nurse Practitioner - Psychiatric/Mental Health in Clarkson, KY

Active since January 21, 2020
112 PEONIA RD, CLARKSON, KY 42726(270) 734-0512 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2020, Mar 2, 2020, Jan 21, 2020 (3 updates tracked since 2020).

About Heartland Behavioral Health Llc NPPES

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

HEARTLAND BEHAVIORAL HEALTH LLC (NPI 1295365054) is a healthcare organization registered as a psychiatric/mental health in Clarkson, Kentucky and active in the NPI registry since January 2020. The organization lists Donna J Goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1295365054
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEARTLAND BEHAVIORAL HEALTH LLC
Location Address112 PEONIA RDClarkson, KY 42726-8049
Mailing Address112 Peonia RdClarkson, KY 42726-8049 · (270) 734-0512
Phone(270) 734-0512
Organization SubpartNo
Authorized OfficialDonna J GoodmanOwner · (270) 242-1131
Enumeration DateJanuary 21, 2020
Last NPPES UpdateApril 28, 20203 updates tracked since enumeration
NPPES CertifiedApril 28, 2020
✔ NPI 1295365054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
112 PEONIA RD, Clarkson, KY 42726
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Other Identifiers 1

Medicaid7100657790KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heartland Behavioral Health LLC's NPI number?

The NPI number for Heartland Behavioral Health LLC is 1295365054. It was assigned to this organization in the NPPES registry on January 21, 2020.

Where is Heartland Behavioral Health LLC located?

Heartland Behavioral Health LLC is located at 112 Peonia Rd, Clarkson, KY 42726. The listed phone number is (270) 734-0512.

What is Heartland Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Heartland Behavioral Health LLC was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.