Active NPI
Brandy Heavrin, LPCC
- Professional Counselor
- Elizabethtown, KY
National Provider Identifier
1356791750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 248540
- Practice address
- 1106 Tunnel Hill Rd # 100
Elizabethtown, KY 42701-8067 - Phone
- (270) 765-2335
- NPI assigned
- Jun 16, 2016
- Last updated
- Sep 10, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 248540 | KY | Primary |
Addresses
Primary practice location
1106 Tunnel Hill Rd # 100
Elizabethtown, KY 42701-8067
Mailing address
1106 Tunnel Hill Rd # 100
Elizabethtown, KY 42701-8067
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 |
|---|---|---|---|
| 248540 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Counseling Services, LLC | 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
- Elizabethtown, KY
- NPI 1699004572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1356791750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 TUNNEL HILL RD # 100",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 TUNNEL HILL RD # 100",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018067",
"telephone_number": "270-765-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAVRIN",
"first_name": "BRANDY",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "248540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
- Heartland Orthopaedic Associates (Elizabethtown Orthopaedic Associates)
- Heartland Pathology Consultants, PSC
- Heartland Patient Care, PLLC
- Heartland Whole Brain Learning-Pediatric & Adult Therapy LLC
- Heartland Woman's Healthcare PLLC
- Robert J Heberly, RN/CSW
- Lance R Heffer, PSYD
- Elizabeth Lindsey Hellinger
- Lauren Alea Helsel
- Cathy B Helson
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.