Individual provider Active NPI

Donna Kay Heinlen, LPC

  • Mental Health Counselor
  • Peachtree City, GA
National Provider Identifier
1396951398
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 002383 Issued in GA
Practice address
23 Eastbrook BND
Suite 200
Peachtree City, GA 30269-1565
Phone
(770) 486-1140
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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 002383 GA Primary

Addresses

Primary practice location

23 Eastbrook BND
Suite 200
Peachtree City, GA 30269-1565

Mailing address

230 Broadmoor Dr
Fayetteville, GA 30215-2776
Phone (770) 716-8602

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
LPC 002383GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Harbour, Inc Past Accepting new patients

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1396951398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BROADMOOR DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152776",
            "telephone_number": "770-716-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EASTBROOK BND",
            "address_2": "SUITE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691565",
            "telephone_number": "770-486-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLEN",
        "first_name": "DONNA",
        "middle_name": "KAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC 002383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.