Mark Allan Heinrich, PH.D.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PE 1359 Issued in TN

Practice address

539 Cliff Lane
Jefferson City, TN 37760-4801

Phone

(865) 475-9176

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225250038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 CLIFF LANE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604801",
            "telephone_number": "865-475-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 CLIFF LANE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604801",
            "telephone_number": "865-475-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "PE 1359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron C. Harris, PA
• Rachel Harris, PT, DPT
• Daniel John Harrison, ATC
• Crystal Marie Harvey, PSY.D.
• Healthstar Physicians, PC
• James Owen Hensley, ATC, LAT
• Sally Ruth Hensley, APRN, FNP
• Meriah Rose Hewitt, PA-C
• Miranda Hickle, FNP
• Amber Hill, PA-C

• Counselor in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Counselor in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.