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: July 19, 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
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

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

The NPI number assigned to this healthcare provider is 1295365054, enumerated as an "organization" on January 21, 2020.

The provider is located at 112 PEONIA RD CLARKSON, KY 42726 and the phone number is (270) 734-0512.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.