Heather Sheridan McKethan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75553 Issued in TX

Practice address

1300 S Gregg St
Big Spring, TX 79720-4325

Phone

(432) 517-4557

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vcounselors PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1326784307

  Professional

  NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1134895709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S GREGG ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204325",
            "telephone_number": "432-517-4557",
            "fax_number": "432-517-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREGG ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204325",
            "telephone_number": "432-517-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKETHAN",
        "first_name": "HEATHER",
        "middle_name": "SHERIDAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Anntoinette Mayo, MSN, RN, CCRN
• Lynn A McCormick
• McDaniel Clinic, P. a.
• Delanie McElroy, MSN, APRN, FNP-C
• Robert McFaul, DO
• Laura Nicole McLaughlin, MSW
• Larry Gene McLellan, RPH
• Brenda Elaine McMillin, R.PH.
• Lacy Jill McMurtrey, PT, DPT
• Heather Dawn McNew

• All providers in Big Spring, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.