Individual provider Active NPI

Heather Kay Guthrie, PHD

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1306934971
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6342 Issued in OH
Practice address
4775 Knightsbridge Blvd Ste 207
Columbus, OH 43214
Phone
(614) 442-5557
Fax
(614) 442-1070
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E3962 OH
Clinical Psychologist 103TC0700X 6342 OH Primary

Addresses

Primary practice location

4775 Knightsbridge Blvd Ste 207
Columbus, OH 43214

Mailing address

4775 Knightsbridge Blvd Ste 207
Columbus, OH 43214-4313
Phone (146) 442-5557

Other practice location 1

445 E. Granville Rd. Building N
The Center for Eating Disorders and Psychotherapy
Worthington, OH 43085-3192
Phone (614) 293-9550

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E3962OHMDProfessional Counselor
6342OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program PC PastSince Aug 10, 2013 Accepting new patients
Center for Eating Disorders & Psychotherapy PastSince Oct 23, 2022 Accepting new patients
Olentangy Pediatrics, Inc. PastSince Sep 15, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.guthrie.1@6860.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6860/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1306934971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 KNIGHTSBRIDGE BLVD STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144313",
            "telephone_number": "146-442-5557",
            "fax_number": "614-442-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 KNIGHTSBRIDGE BLVD STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-442-5557",
            "fax_number": "614-442-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 E. Granville Rd. Building N",
            "address_2": "The Center for Eating Disorders and Psychotherapy",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430853192",
            "country_code": "US",
            "telephone_number": "614-293-9550",
            "fax_number": "614-293-9549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "HEATHER",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3962",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.