Active NPI
Jean Heavey, LPCA, NCC
- Mental Health Counselor
- Clayton, NC
National Provider Identifier
1013467679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A12550
- Practice address
- 9933 US 70 Business Hwy W
Clayton, NC 27520-2113 - Phone
- (919) 585-2069
- Fax
- (919) 585-2075
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A12550 | NC | |
| Mental Health Counselor | 101YM0800X | A12550 | NC | Primary |
Addresses
Primary practice location
9933 US 70 Business Hwy W
Clayton, NC 27520-2113
Mailing address
9933 US 70 Business Hwy W
PO Box 1418
Clayton, NC 27520-2113
Phone (919) 585-2069
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
| License | State | Type | Specialty |
|---|---|---|---|
| A12550 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1013467679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9933 US 70 BUSINESS HWY W",
"address_2": "PO BOX 1418",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202113",
"telephone_number": "919-585-2069",
"fax_number": "919-585-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9933 US 70 BUSINESS HWY W",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202113",
"telephone_number": "919-585-2069",
"fax_number": "919-585-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAVEY",
"first_name": "JEAN",
"credential": "LPCA, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A12550",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A12550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.