Individual provider Active NPI

Heather Stone Pinckney, LMHC

  • Mental Health Counselor
  • Fernandina Beach, FL
National Provider Identifier
1205597259
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20510 Issued in FL
Practice address
501 Centre St Ste 121
Fernandina Beach, FL 32034-3936
Phone
(704) 807-0280
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 MH20510 FL Primary

Addresses

Primary practice location

501 Centre St Ste 121
Fernandina Beach, FL 32034-3936

Mailing address

605 Amelia Cir
Fernandina Beach, FL 32034-2400
Phone (704) 807-0280

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
MH20510FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinckstone Counseling LLC Mental Health CurrentSince Jul 17, 2022 Accepting new patients

Locations

501 Centre St
Ste 121
Fernandina Beach, FL 32034
Phone (704) 807-0280

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1205597259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 AMELIA CIR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342400",
            "telephone_number": "704-807-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTRE ST STE 121",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343936",
            "telephone_number": "704-807-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCKNEY",
        "first_name": "HEATHER",
        "middle_name": "STONE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.