Stephen Craig Heelan, PH.D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10644 Issued in FL

Practice address

3540 Forest Hill Blvd
Suite 112 F
West Palm Beach, FL 33406-5878

Phone

(561) 252-1952

NPI assigned

Jul 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Soul Ambition, Inc.

  • Counseling Psychologist
  • Boynton Beach, FL
  • NPI 1669028957
  Medicare reassignment

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1336452754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FAIRHAVEN DR",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085214",
            "telephone_number": "561-252-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 FOREST HILL BLVD",
            "address_2": "SUITE 112 F",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065878",
            "telephone_number": "561-252-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEELAN",
        "first_name": "STEPHEN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "10644",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "004947",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002775400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "004947",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH10644",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Hechavarria
• Ricky Hechevarria, PM
• Jason M. Hechtman, M.D.
• Pamela Heck
• Marie Heckendorn-Evans, BA
• Jadyn Nicole Heffern, MD
• Celine Coty Heflin
• David Hefty, PH.D. MT
• Heidi M. Salonia
• Maryann Heinbach, RDH

• Professional Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.