Heather Lynette Conklin, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT90317 Issued in CA

Practice address

1577 Payne Ave
Edwards, CA 93523

Phone

(661) 860-2054

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2024.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1386840205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 JASMINE AVE",
            "city": "ROSAMOND",
            "state": "CA",
            "postal_code": "93560",
            "telephone_number": "661-860-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 PAYNE AVE",
            "city": "EDWARDS",
            "state": "CA",
            "postal_code": "93523",
            "telephone_number": "661-860-2054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3648 Jasmine Ave",
            "address_purpose": "LOCATION",
            "city": "Rosamond",
            "state": "CA",
            "postal_code": "93560",
            "country_code": "US",
            "telephone_number": "661-860-2054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "HEATHER",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT90317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jahnpayne Bowling
• Erin Carey
• Susan A. Cartwright, LCSW, DCSW
• Maurice Gerard Chen, M.D.
• Kenet M Cochrane
• Catherine Cook, IBCLC
• Dawn L. Cotton, B.A.
• Scott Allen Couper, MTBC, MSW
• Rachel Dale, LMSW
• Gerrick Floyd Chan De Leon, MS

• All providers in Edwards, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.