Individual provider Active NPI

Heidi Simmons Birkner, LPC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1184787830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3595 Issued in NC
Practice address
2012 New Garden Rd
Suite E
Greensboro, NC 27410-2529
Phone
(336) 288-0588
Fax
(336) 288-0517
NPI assigned
Dec 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3595 NC Primary

Addresses

Primary practice location

2012 New Garden Rd
Suite E
Greensboro, NC 27410-2529

Mailing address

2012 New Garden Rd
Suite E
Greensboro, NC 27410-2529
Phone (336) 288-0588

Other identifiers 1

IdentifierTypeStateIssuer
6102250MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 8, 2024 through Apr 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3595NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184787830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 NEW GARDEN RD",
            "address_2": "SUITE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102529",
            "telephone_number": "336-288-0588",
            "fax_number": "336-288-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 NEW GARDEN RD",
            "address_2": "SUITE E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102529",
            "telephone_number": "336-288-0588",
            "fax_number": "336-288-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKNER",
        "first_name": "HEIDI",
        "middle_name": "SIMMONS",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102250",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.