Active NPI
Christian D Heim
- Marriage & Family Therapist
- Poteau, OK
National Provider Identifier
1295909349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51312
- Practice address
- 900 N Broadway St
Suite 1
Poteau, OK 74953-2617 - Phone
- (918) 649-0772
- NPI assigned
- Apr 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 57321 | CA | |
| Marriage & Family Therapist | 106H00000X | 51312 | CA | Primary |
Addresses
Primary practice location
900 N Broadway St
Suite 1
Poteau, OK 74953-2617
Mailing address
PO Box 1335
Poteau, OK 74953-1335
Phone (918) 649-0772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295909349 | Medicaid | CA |
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 |
|---|---|---|---|
| 57321 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1295909349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1335",
"city": "POTEAU",
"state": "OK",
"postal_code": "749531335",
"telephone_number": "918-649-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N BROADWAY ST",
"address_2": "SUITE 1",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532617",
"telephone_number": "918-649-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIM",
"first_name": "CHRISTIAN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-19",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "57321",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295909349",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.