Kristie Fay Heineman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7641 Issued in SC

Practice address

32 Harvest CT
Pawleys Island, SC 29585-8199

Phone

(949) 282-7634

Fax

(843) 589-1395

NPI assigned

Sep 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1386293553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HARVEST CT",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858199",
            "telephone_number": "949-282-7634",
            "fax_number": "843-589-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HARVEST CT",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858199",
            "telephone_number": "949-282-7634",
            "fax_number": "843-589-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMAN",
        "first_name": "KRISTIE",
        "middle_name": "FAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7641",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Edward Harmon, MD
• Esther B Harper, MA, CCC, SLP
• Teressa Thompson Harrington, LPC
• David K Haseltine, M.D.
• James Wesley Haygood
• Kayla Helms, DPT
• James P. Hentz, MD
• Megan Lynn Higgins, MSN, PMHNP-BC
• Kaitlyn Hill, PT
• Kent Jack Homnick, MD

• Professional Counselor in Pawleys Island, SC
• Providers in Pawleys Island, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.