Heidi E Suguitan, LPC, LCPC, ATR-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2009035602 Issued in MO

Practice address

8000 Bonhomme Ave Ste 312
Clayton, MO 63105-3515

Phone

(314) 492-7147

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Heidi E Harbin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1154095859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 312",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-492-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 312",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-492-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGUITAN",
        "first_name": "HEIDI",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006752",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "10030",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009035602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HARBIN",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "LPC, LCPC, ATR-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Clayton, MO
• Providers in Clayton, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.