Individual provider Active NPI

Dale R Heppe, LMHC

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1376812305
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10915 Issued in FL
Practice address
114 Airport Rd # a
Panama City, FL 32405-4605
Phone
(850) 481-8189
Fax
(850) 248-0277
NPI assigned
Dec 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X MH10915 FL
Mental Health Counselor 101YM0800X MH10915 FL Primary

Addresses

Primary practice location

114 Airport Rd # a
Panama City, FL 32405-4605

Mailing address

2319 S Highway 77 Unit 457
Lynn Haven, FL 32444-7720
Phone (850) 481-8189

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

LicenseStateTypeSpecialty
MH10915FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorpoint Therapy, LLC Mental Health PastSince Dec 14, 2025 Accepting new patients
A Peace of Mind Therapy LLC Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1376812305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 S HIGHWAY 77 UNIT 457",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324447720",
            "telephone_number": "850-481-8189",
            "fax_number": "850-248-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AIRPORT RD # A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054605",
            "telephone_number": "850-481-8189",
            "fax_number": "850-248-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPE",
        "first_name": "DALE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "MH10915",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.