Individual provider Active NPI

Christie Lee Hebert, MS, LPC

  • Mental Health Counselor
  • Gold Canyon, AZ
National Provider Identifier
1366054876
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-20937 Issued in AZ
Practice address
6589 S Kings Ranch Rd Ste M
Gold Canyon, AZ 85118-2933
Phone
(480) 371-5883
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-20937 AZ Primary

Addresses

Primary practice location

6589 S Kings Ranch Rd Ste M
Gold Canyon, AZ 85118-2933

Mailing address

9685 E Palermo Ave
Gold Canyon, AZ 85118-7019
Phone (307) 247-5359

Other practice location 1

9685 E Palermo Ave
Gold Canyon, AZ 85118-7019
Phone (307) 247-5359

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-20937AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Az Whole Heart Connection, LLC Mental Health CurrentSince Mar 12, 2024 Accepting new patients

Locations

6641 S Kings Ranch Rd
Ste 1
Gold Canyon, AZ 85118
Phone (480) 307-7198

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1366054876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 E PALERMO AVE",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851187019",
            "telephone_number": "307-247-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6589 S KINGS RANCH RD STE M",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182933",
            "telephone_number": "480-371-5883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9685 E Palermo Ave",
            "address_purpose": "LOCATION",
            "city": "Gold Canyon",
            "state": "AZ",
            "postal_code": "851187019",
            "country_code": "US",
            "telephone_number": "307-247-5359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "CHRISTIE",
        "middle_name": "LEE",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.