Provider Demographics
NPI:1962585232
Name:HEARTLAND RURAL COUNSELING SERV INC
Entity type:Organization
Organization Name:HEARTLAND RURAL COUNSELING SERV INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:PTOCEK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:785-460-7588
Mailing Address - Street 1:270 N FRANKLIN
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701
Mailing Address - Country:US
Mailing Address - Phone:785-460-7588
Mailing Address - Fax:785-460-2396
Practice Address - Street 1:270 N FRANKLIN
Practice Address - Street 2:SUITE C
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701
Practice Address - Country:US
Practice Address - Phone:785-460-7588
Practice Address - Fax:785-460-2396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS022101Y00000X
KS263101Y00000X
KS648106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty