Active NPI
Blue Heron Counseling, PLLC
- Marriage & Family Therapist
- Boone, NC
National Provider Identifier
1265214191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- BLUE HERON COUNSELING, PLLC
- Practice address
- 719A Greenway Road
Room 214
Boone, NC 28607-4816 - Phone
- (828) 406-7057
- NPI assigned
- Oct 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Caldwell, PHD, LMF
- Title
- Clinician
- Phone
- (828) 406-7057
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
719A Greenway Road
Room 214
Boone, NC 28607-4816
Mailing address
161 Eastwood BND
Boone, NC 28607-8148
Phone (828) 406-7057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
719 Greenway Rd
Ste 214
Boone, NC 28607
Phone (828) 406-7057
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Boone, NC
- NPI 1356586226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697414400000",
"number": "1265214191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 EASTWOOD BND",
"city": "BOONE",
"state": "NC",
"postal_code": "286078148",
"telephone_number": "828-406-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719A GREENWAY ROAD",
"address_2": "ROOM 214",
"city": "BOONE",
"state": "NC",
"postal_code": "286074816",
"telephone_number": "828-406-7057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE HERON COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A",
"authorized_official_last_name": "CALDWELL",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "828-406-7057",
"authorized_official_credential": "PHD, LMF"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.