Tanya Heller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60977135 Issued in WA

Practice address

1015 Columbia Ave
Bridgeport, WA 98813-8004

Phone

(800) 660-2129

Fax

(855) 204-8848

NPI assigned

Jan 22, 2007

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tanya Wilson Other name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Okanogan, WA
  • NPI 1609804392
  Medicare reassignment NPD
• Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Twisp, WA
  • NPI 1679962401
  NPD
• Okanogan Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Omak, WA
  • NPI 1366794034
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1427102102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988121470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 COLUMBIA AVE",
            "city": "BRIDGEPORT",
            "state": "WA",
            "postal_code": "988138004",
            "telephone_number": "800-660-2129",
            "fax_number": "855-204-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Koala Ave",
            "address_purpose": "LOCATION",
            "city": "Omak",
            "state": "WA",
            "postal_code": "988419247",
            "country_code": "US",
            "telephone_number": "509-826-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60977135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8934445",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "WILSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Family Health Centers
• Family Health Centers
• Family Health Centers
• Family Health Centers
• Sharmon M. Figenshaw, ARNP
• Michelle Lane, DH
• Joshua Monson, MD
• Catherine Lynn Mullin, SLPA
• Daisy Sajuan, NP-C
• Viridiana Sanchez Mejia

• Mental Health Counselor in Bridgeport, WA
• Providers in Bridgeport, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.