Active NPI
Dave Heckard
- Counselor
- Lebanon, PA
National Provider Identifier
1295124519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- BH002571
- Practice address
- 15 S 9TH St
Lebanon, PA 17042-5104 - Phone
- (717) 273-5992
- NPI assigned
- Jan 12, 2015
- Last updated
- Jan 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | BH002571 | PA | Primary |
Addresses
Primary practice location
15 S 9TH St
Lebanon, PA 17042-5104
Mailing address
12 Aspen Way
Lebanon, PA 17046-1864
Phone (717) 222-2711
Other names 1
- Mr. David Heckard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH002571 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1295124519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ASPEN WAY",
"city": "LEBANON",
"state": "PA",
"postal_code": "170461864",
"telephone_number": "717-222-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S 9TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425104",
"telephone_number": "717-273-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKARD",
"first_name": "DAVE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "BH002571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "HECKARD",
"prefix": "MR.",
"credential": "M.S.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.