Individual provider Active NPI

Christian W Heinsler, BCBA, LMHC

  • Mental Health Counselor
  • Coconut Creek, FL
National Provider Identifier
1174355192
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18128 Issued in FL
Practice address
530 NW 42ND Ave
Coconut Creek, FL 33066-1830
Phone
(954) 298-1267
NPI assigned
Aug 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-10223 FL
Mental Health Counselor 101YM0800X MH18128 FL Primary

Addresses

Primary practice location

530 NW 42ND Ave
Coconut Creek, FL 33066-1830

Mailing address

530 NW 42ND Ave
Coconut Creek, FL 33066-1830
Phone (954) 298-1267

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

State licenses

LicenseStateTypeSpecialty
MH18128FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1174355192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 42ND AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661830",
            "telephone_number": "954-298-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 42ND AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661830",
            "telephone_number": "954-298-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINSLER",
        "first_name": "CHRISTIAN",
        "middle_name": "W",
        "credential": "BCBA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-10223",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.