Organization Active NPI

Heathcote Counseling, LCSW, PLLC

  • Clinical Social Worker
  • Glens Falls, NY
National Provider Identifier
1285380295
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEATHCOTE COUNSELING, LCSW, PLLC
Practice address
27 Cunningham Ave
Glens Falls, NY 12801-2606
Phone
(518) 769-4416
Fax
(518) 218-9226
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Elizabeth Wilson Heathcote, LCSW-RNPI 1801109582
Title
Owner/Provider
Phone
(518) 769-4416

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

27 Cunningham Ave
Glens Falls, NY 12801-2606

Mailing address

27 Cunningham Ave
Glens Falls, NY 12801-2606
Phone (518) 769-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220321000314 NY Part B Supplier - Clinic/Group Practice 7214322718 Receives reassigned benefits from 1 practitioner
Practice locations: Glens Falls, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1285380295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CUNNINGHAM AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012606",
            "telephone_number": "518-769-4416",
            "fax_number": "518-218-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CUNNINGHAM AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012606",
            "telephone_number": "518-769-4416",
            "fax_number": "518-218-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHCOTE COUNSELING, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "HEATHCOTE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "518-769-4416",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.

Verify at the official NPI Registry.