Individual provider Active NPI

Michael J Heath, LMHC

  • Mental Health Counselor
  • Fayetteville, NY
National Provider Identifier
1295943397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003024-1 Issued in NY
Practice address
7913 E Ridge Pointe Dr
Fayetteville, NY 13066-9517
Phone
(315) 637-0605
Fax
(315) 637-5009
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 003024-1 NY Primary

Addresses

Primary practice location

7913 E Ridge Pointe Dr
Fayetteville, NY 13066-9517

Mailing address

7913 E Ridge Pointe Dr
Fayetteville, NY 13066-9517
Phone (315) 637-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260624004404 NY Practitioner - Mental Health Counselor 2860965415 Practice locations: Fayetteville, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7913 E Ridge Pointe Dr
Fayetteville, NY 13066-9517
Phone (315) 380-1005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003024-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295943397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 E RIDGE POINTE DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130669517",
            "telephone_number": "315-637-0605",
            "fax_number": "315-637-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 E RIDGE POINTE DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130669517",
            "telephone_number": "315-637-0605",
            "fax_number": "315-637-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003024-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

Verify at the official NPI Registry.