Active NPI
Heidi Simmons Birkner, LPC
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1184787830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3595
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102250 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3595 | NC | MD | Mental 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
- Bio-Medical Applications of North Carolina, Inc. (Northwest Greensboro Kidney Center)
- Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care of East Greensboro)
- Bio-Tech Prosthetics and Orthotics, Inc (Hanger Clinic)
- Bionic Prosthetics and Orthotics Group LLC
- Leslie Carol Bird, MA CCCA
- Alex Birthrong
- Mollie Mychael Bishop
- Jaclyn Marie Bissell, PA-C
- Ted L Bissette, M.S, L.P.C, NBCCH
- Katrina Bitcon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.