Active NPI
Heather Fairfax
- Professional Counselor
- Fredericksburg, VA
National Provider Identifier
1326167438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004711
- Practice address
- 2601 Wheatland Woods Dr
Fredericksburg, VA 22408-0801 - Phone
- (540) 899-3100
- NPI assigned
- Mar 28, 2007
- Last updated
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 48119 | CA | |
| Professional Counselor | 101YP2500X | 3308 | LA | |
| Professional Counselor | 101YP2500X | 14864 | TX | |
| Professional Counselor | 101YP2500X | 0701004711 | VA | Primary |
Addresses
Primary practice location
2601 Wheatland Woods Dr
Fredericksburg, VA 22408-0801
Mailing address
28 Kimmer Court
Fredericksburg, VA 22406
Phone (310) 984-4950
Other names 1
- Heather Milton
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 |
|---|---|---|---|
| 14864 | TX | MD | Professional Counselor |
| 0701004711 | VA | MD | Professional Counselor |
| 3308 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transcendent Truth Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Fredericksburg, VA
- NPI 1700316304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1326167438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 KIMMER COURT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22406",
"telephone_number": "310-984-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 WHEATLAND WOODS DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224080801",
"telephone_number": "540-899-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRFAX",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "48119",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3308",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14864",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "MILTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.