Heidi Marlatt, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LCM629 Issued in MD

Practice address

23077 Three Notch Rd Ste 302
California, MD 20619-2453

Phone

(719) 291-9592

NPI assigned

Dec 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 19, 2024 through Apr 19, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Acknowledge, Restore, and Grow LLC

  • Marriage & Family Therapist
  • Lexington Park, MD
  • NPI 1720786460
  NPD Authorized official

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1407277221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44554 RIVER OTTER DR",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206197110",
            "telephone_number": "719-291-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 THREE NOTCH RD STE 302",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192453",
            "telephone_number": "719-291-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLATT",
        "first_name": "HEIDI",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM629",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001206",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CO",
            "license": "13393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Lucero-Pierce, CRNP
• Luxottica Retail North America Inc
• Jessica Lynch, RBT
• Mary Clark Magill, NP
• Danielle Malhotra, CRNP
• Keira Marshall
• Alauna Martinez
• Maryland CVS Pharmacy LLC
• Maryland CVS Pharmacy, L.L.C.
• Rachel Mavilia

• Marriage & Family Therapist in California, MD
• Providers in California, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.