Christine Nell Heikkenen-Black, CRC, LPC, ACD

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC101YP2500X Issued in CO

Practice address

700 Four Mile Pkwy
Canon City, CO 81212-9114

Phone

(540) 260-5559

NPI assigned

Jun 5, 2020

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1194349043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTHERN PEAKS REGIONAL TREATMENT CENTER",
            "address_2": "700 FOUR MILE PARKWAY",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812121101",
            "telephone_number": "540-260-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FOUR MILE PKWY",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129114",
            "telephone_number": "540-260-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKKENEN-BLACK",
        "first_name": "CHRISTINE",
        "middle_name": "NELL",
        "credential": "CRC, LPC, ACD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC101YP2500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Canon City, CO
• Providers in Canon City, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.