Active NPI
Heather Kay Guthrie, PHD
- Clinical Psychologist
- Columbus, OH
National Provider Identifier
1306934971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6342
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| E3962 | OH | MD | Professional Counselor |
| 6342 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program PC | Past | Accepting new patients | |
| Center for Eating Disorders & Psychotherapy | Past | Accepting new patients | |
| Olentangy Pediatrics, Inc. | Past | Accepting new patients |
Interoperability endpoints
- heather.guthrie.1@6860.direct.athenahealth.com
- 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.
-
- Registered Dietitian
- Worthington, OH
- NPI 1871910109
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1669444329
-
- Pediatrics Physician
- Columbus, OH
- NPI 1609842962
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.