Individual provider Active NPI

Kristyn Heins, LPC

  • Professional Counselor
  • Grant, MI
National Provider Identifier
1104219260
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014126 Issued in MI
Practice address
11 N Maple St
Grant, MI 49327-7900
Phone
(231) 834-0444
Fax
(231) 834-0200
NPI assigned
Mar 13, 2015
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014126 MI Primary

Addresses

Primary practice location

11 N Maple St
Grant, MI 49327-7900

Mailing address

1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 745-5045

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
6401014126MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1104219260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 MICHIGAN AVE",
            "city": "BALDWIN",
            "state": "MI",
            "postal_code": "493047984",
            "telephone_number": "231-745-5045",
            "fax_number": "231-745-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493277900",
            "telephone_number": "231-834-0444",
            "fax_number": "231-834-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINS",
        "first_name": "KRISTYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.