Individual provider Active NPI

Kathleen Margaret Heide, PH.D.

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1417160227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH00002524 Issued in FL
Practice address
309 S Fielding Ave
Tampa, FL 33606-2224
Phone
(813) 250-0224
Fax
(813) 250-9019
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH00002524 FL Primary

Addresses

Primary practice location

309 S Fielding Ave
Tampa, FL 33606-2224

Mailing address

815 Seddon Cove Way
Tampa, FL 33602-5703
Phone (813) 225-2553

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH00002524FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417160227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SEDDON COVE WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025703",
            "telephone_number": "813-225-2553",
            "fax_number": "813-225-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S FIELDING AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062224",
            "telephone_number": "813-250-0224",
            "fax_number": "813-250-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDE",
        "first_name": "KATHLEEN",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH00002524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.