Individual provider Active NPI

Stevette Patricia Heyliger, LPC

  • Professional Counselor
  • Montclair, NJ
National Provider Identifier
1265770762
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00385800 Issued in NJ
Practice address
88 Park St
Montclair, NJ 07042-5915
Phone
(973) 878-0367
NPI assigned
Jan 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00385800 NJ Primary

Addresses

Primary practice location

88 Park St
Montclair, NJ 07042-5915

Mailing address

452 Beardsley Ave
Bloomfield, NJ 07003-5662
Phone (973) 687-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2025 through Feb 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00385800NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1265770762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 BEARDSLEY AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035662",
            "telephone_number": "973-687-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425915",
            "telephone_number": "973-878-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYLIGER",
        "first_name": "STEVETTE",
        "middle_name": "PATRICIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00385800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.