Thomas Lee Heasley, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005051 Issued in VA

Practice address

2727 Electric Rd Ste 103
Roanoke, VA 24018-3500

Phone

(540) 355-8626

Fax

(540) 283-0769

NPI assigned

Mar 30, 2009

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mr. Thomas Lee Heasley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Roanoke Valley Counseling Center, LLC

  dba Roanoke Valley Counseling Center

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1932569316

  Professional

  NPD Authorized official
• Family Service of Roanoke Valley

  • Counselor
  • Roanoke, VA
  • NPI 1457397457
  NPD (past)

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1346482924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21701",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180172",
            "telephone_number": "540-355-8626",
            "fax_number": "540-283-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 ELECTRIC RD STE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183500",
            "telephone_number": "540-355-8626",
            "fax_number": "540-283-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASLEY",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005051",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346482924",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "HEASLEY",
            "middle_name": "LEE",
            "prefix": "MR.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heart of an Angel Home Care LLC
• Heartland Home Care LLC (Heartland Home Health Care)
• Heartland Home Care, LLC (ProMedica Hospice (Roanoke))
• Heartland Home Care, LLC (ProMedica Hospice (Roanoke))
• Heartspace Counseling, PLC
• Ashley Nicole Heath, PHARMD
• Robert C Heath, M.D.
• Wendy Heath, RN IBCLC
• William Thomas Heath III, PHARM. D
• Heavenly Hands Nursing LLC

• Professional Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.