Individual provider Active NPI

Justin Anthony Heupel, MA

  • Addiction (Substance Use Disorder) Counselor
  • Iron Mountain, MI
National Provider Identifier
1134699028
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
301 Kent St Ste 2
Iron Mountain, MI 49801-1569
Phone
(906) 774-2561
Fax
(906) 774-2597
NPI assigned
Dec 4, 2018
Sex
Male
Sole proprietor
No

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.

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301017696MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Counseling PLLC Psychologist Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301017696 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

301 Kent St Ste 2
Iron Mountain, MI 49801-1569

Mailing address

97 S 4TH St Ste C
Ishpeming, MI 49849-2168
Phone (906) 228-9699

Other practice location 1

305 W Genesee St Ste 3
Iron River, MI 49935-1361
Phone (906) 214-4777

Other practice location 2

401 10th Ave
Menominee, MI 49858-3009
Phone (906) 863-7841

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2020.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1134699028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699",
            "fax_number": "888-977-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KENT ST STE 2",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498011569",
            "telephone_number": "906-774-2561",
            "fax_number": "906-774-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Genesee St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Iron River",
            "state": "MI",
            "postal_code": "499351361",
            "country_code": "US",
            "telephone_number": "906-214-4777",
            "fax_number": "906-214-4776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Menominee",
            "state": "MI",
            "postal_code": "498583009",
            "country_code": "US",
            "telephone_number": "906-863-7841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUPEL",
        "first_name": "JUSTIN",
        "middle_name": "ANTHONY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017696",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.