Individual provider Active NPI

Heather Patricia Donovan, LMHC

  • Mental Health Counselor
  • Plymouth, MA
National Provider Identifier
1124635685
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4022 Issued in MA
Practice address
385 Court St
Plymouth, MA 02360-7304
Phone
(857) 930-0217
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4022 MA Primary

Addresses

Primary practice location

385 Court St
Plymouth, MA 02360-7304

Mailing address

385 Court St
Plymouth, MA 02360-7304
Phone (857) 930-0217

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Plymouth Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240126003513 MA Practitioner - Mental Health Counselor 3577916493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4022MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Treatment Center Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1124635685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607304",
            "telephone_number": "857-930-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607304",
            "telephone_number": "857-930-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "HEATHER",
        "middle_name": "PATRICIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Plymouth",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Wagon Wheel Rd",
            "city": "Plymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023603481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.