Scott Felton Heine, DMIN, MDIV, MA
Individual provider Active NPI Professional Counselor · Jeffersonton, VA
NPI 1053909515 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1053909515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701012917 (VA)
- Practice address
- 17279 Banbury CT
Jeffersonton, VA 22724-2701 - Phone
- (540) 878-0078
- NPI assigned
- Jan 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240322004304 | VA | Practitioner - Mental Health Counselor | 0840637039 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701012917 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701012917 | VA | Yes |
Addresses
Primary practice location
17279 Banbury CT
Jeffersonton, VA 22724-2701
Mailing address
17279 Banbury CT
Jeffersonton, VA 22724-2701
Phone (540) 878-0078
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | simplepractice.com | Direct |
Other providers in Jeffersonton, VA
- Kwabena Agyei Barima
- Avenue Counseling PLLC
- Barima Family Services
- Dominique Jeroldine Leon Black
- Blue Ridge Caregivers, Inc.
- William S Warfield
- Eliza January Wilcox
All providers in Jeffersonton, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.