Individual provider Active NPI

Heather Michelle Rey, LCSW

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1083413322
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109467 Issued in TX
Practice address
4708 Portrait LN
Plano, TX 75024-3801
Phone
(903) 253-1315
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 109467 TX Primary

Addresses

Primary practice location

4708 Portrait LN
Plano, TX 75024-3801

Mailing address

4708 Portrait LN
Plano, TX 75024-3801
Phone (903) 253-1315

Other practice location 1

2603 Willow St
Austin, TX 78702-5631
Phone (512) 765-6657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408000827 TX Practitioner - Clinical Social Worker 3476077819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S Kincheloe Counseling PLLCGroup PAC ID 4688061955, 3 clinicians

Practice addresses (Care Compare)

2603 Willow St
Austin, TX 78702-5631
Phone (512) 765-6657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109467TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
S Kincheloe Counseling PLLC Clinical CurrentSince Mar 18, 2025 Accepting new patients

Organizations & group practices 1

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": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1083413322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 PORTRAIT LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243801",
            "telephone_number": "903-253-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 PORTRAIT LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243801",
            "telephone_number": "903-253-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2603 Willow St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787025631",
            "country_code": "US",
            "telephone_number": "512-765-6657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REY",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.