Individual provider Active NPI

Abigail Louise Graham Heaton, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Burlington, IA
National Provider Identifier
1295352508
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T20057 Issued in IA
Practice address
1340 Mount Pleasant St
Burlington, IA 52601-2623
Phone
(319) 753-6567
Fax
(319) 753-0703
NPI assigned
Jul 2, 2020
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T20057 IA Primary
Social Worker 104100000X 100146 IA

Addresses

Primary practice location

1340 Mount Pleasant St
Burlington, IA 52601-2623

Mailing address

1340 Mount Pleasant St
Burlington, IA 52601-2623
Phone (319) 753-6567

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

LicenseStateTypeSpecialty
T20057IAMDAddiction (Substance Use Disorder) Counselor
100146IAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1295352508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MOUNT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012623",
            "telephone_number": "319-753-6567",
            "fax_number": "319-753-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MOUNT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012623",
            "telephone_number": "319-753-6567",
            "fax_number": "319-753-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "ABIGAIL",
        "middle_name": "LOUISE GRAHAM",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T20057",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "100146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.