Heroic Health Group LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

HEROIC HEALTH GROUP LLC

Practice address

6701 49TH St N
Pinellas Park, FL 33781-5728

Phone

(727) 386-9549

Fax

(727) 592-1123

NPI assigned

Dec 29, 2019

Organization subpart

No

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

Authorized official

Name

Matthew Fahy, LMHCNPI 1689009383

Title

Lead Therapist

Phone

(727) 386-9549

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Anthony Fahy, M.A.

  • Mental Health Counselor
  • Pinellas Park, FL
  • NPI 1689009383
  NPD Authorized official

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1194364844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2525",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33779",
            "telephone_number": "727-386-9549",
            "fax_number": "727-289-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 49TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815728",
            "telephone_number": "727-386-9549",
            "fax_number": "727-592-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROIC HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-29",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "FAHY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "727-386-9549",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy@mattfahy.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "variable",
            "address_1": "6701 49th St N",
            "city": "Pinellas Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337815728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Help a Child, Inc.
• Tanya Hendry, LCSW
• Hermann Medical Supplies IV Inc
• Felix Roilan Hernandez Valdes
• Evan Luis Hernandez, BS, RBT
• Susan Herper, APRN
• Ileen Y Herrero-Szostak, M.D.
• Toni Vivian Hickey, PMHNP
• Andrew Paul Hicks, PH.D.
• Sheila Hicks, RBT

• Counselor in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.