Heaven Leigh Buchanan

Key facts

NPI

1104731017

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

IMH29412 (FL)

Practice address

100 S Kentucky Ave Ste 240
Lakeland, FL 33801-5093

Phone

(863) 272-9137

NPI assigned

Aug 17, 2026

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 17, 2026.

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1104731017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S KENTUCKY AVE STE 240",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015093",
            "telephone_number": "863-272-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S KENTUCKY AVE STE 240",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015093",
            "telephone_number": "863-272-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "HEAVEN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH29412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

• Nicholas Bryant
• Victoria Bryant, MS
• Thaddeus T Brzozowski Sr., DDS
• BS - Lakeland Hills, Inc.
• Robert Buccino, MD
• Michael James Buchanan, M.D.
• Phillip James Buchanan, PHARMD
• Tessely Buchanan
• Brookelyn Buchanon
• Katharine Ann Buck, APRN

All providers in Lakeland, FL · Mental Health Counselor in Florida