Individual provider Active NPI

Jordan Kluesner Heffner, LCMHCA

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1003452947
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15378 Issued in NC
Practice address
6 Boston Way Ste B
Asheville, NC 28803-2995
Phone
(828) 761-1525
Fax
(828) 330-9998
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A15378 NC Primary

Addresses

Primary practice location

6 Boston Way Ste B
Asheville, NC 28803-2995

Mailing address

36 Brown Rd
Asheville, NC 28806-9551
Phone (287) 611-5258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A15378NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Counseling and Psychological Services, Inc. PastSince Dec 1, 2019 Accepting new patients
Appalachian Counseling and Psychological Services Mental Health PastSince Dec 16, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1003452947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BROWN RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288069551",
            "telephone_number": "287-611-5258",
            "fax_number": "828-330-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BOSTON WAY STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032995",
            "telephone_number": "828-761-1525",
            "fax_number": "828-330-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFNER",
        "first_name": "JORDAN",
        "middle_name": "KLUESNER",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.