NPIMap

Organization Active NPI

Athena Psychological Services PLLC

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1356874036
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4887 Issued in NC
Legal business name
ATHENA PSYCHOLOGICAL SERVICES PLLC
Practice address
9204 Falls of Neuse Rd
Suite 110
Raleigh, NC 27615-2479
Phone
(919) 819-5736
Fax
(919) 882-1426
NPI assigned
Apr 10, 2017
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Ms. Janet Marie Heuring, MA, LCAS, LPA HSP-PANPI 1659752905
Title
Clinical Psychologist, Owner
Phone
(919) 819-5736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 4887 NC
Clinical Psychologist 103TC0700X 4887 NC Primary

Addresses

Primary practice location

9204 Falls of Neuse Rd
Suite 110
Raleigh, NC 27615-2479

Mailing address

9204 Falls of Neuse Rd
Suite 110
Raleigh, NC 27615-2479
Phone (919) 819-5736

National Provider Directory

National Provider Directory

Locations

9204 Falls of Neuse Rd
Ste 110
Raleigh, NC 27615
Phone (919) 341-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1356874036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 FALLS OF NEUSE RD",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152479",
            "telephone_number": "919-819-5736",
            "fax_number": "919-882-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 FALLS OF NEUSE RD",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152479",
            "telephone_number": "919-819-5736",
            "fax_number": "919-882-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "HEURING",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "919-819-5736",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LCAS, LPA HSP-PA"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "4887",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.