Individual provider Active NPI

Heather A. Mahoney, LCSW

  • Mental Health Counselor
  • New Haven, CT
National Provider Identifier
1225463987
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009298 Issued in CT
Practice address
79 Trumbull St
Ste 1
New Haven, CT 06511-3782
Phone
(203) 444-2536
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 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 009298 CT Primary

Addresses

Primary practice location

79 Trumbull St
Ste 1
New Haven, CT 06511-3782

Mailing address

847 W Main St
Ste 3
Branford, CT 06405-3456
Phone (203) 444-2536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223002014 CT Practitioner - Clinical Social Worker 4981909397 Reassigns benefits to 2 organizations
Practice locations: New Haven, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009298CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bhcare, Inc. CurrentSince Dec 5, 2015 Accepting new patients

Locations

435 E Main St
Ansonia, CT 06401
Phone (203) 736-2601

14 Sycamore Way
Branford, CT 06405
Phone (203) 483-2630

127 Washington Ave
Ste 3W
North Haven, CT 06473

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

Organizations & group practices 2

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1225463987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 W MAIN ST",
            "address_2": "STE 3",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053456",
            "telephone_number": "203-444-2536",
            "fax_number": "844-308-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 TRUMBULL ST",
            "address_2": "STE 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113782",
            "telephone_number": "203-444-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "HEATHER",
        "middle_name": "A.",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "009298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.