Heidi Ivey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701009780 Issued in VA

Practice address

47 W Jubal Early Dr Ste 100
Winchester, VA 22601-6637

Phone

(540) 216-2106

Fax

(540) 450-2783

NPI assigned

Apr 3, 2020

Last updated

Sep 9, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lutheran Family Services of VA Inc

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1255643516
  NPD (past)

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1427687375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W JUBAL EARLY DR STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016637",
            "telephone_number": "540-216-2106",
            "fax_number": "540-450-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W JUBAL EARLY DR STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016637",
            "telephone_number": "540-216-2106",
            "fax_number": "540-450-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "HEIDI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamrul Islam, D.O.
• Gwendolyn Williams Isler, MS RD LD
• Itech Solutions LLC
• Giovanni P Iuculano, D.D.S.
• Frank Edward Ivan III, P.T.
• Ingrid C Iwanow, M.D.
• J W Platt, RPH, LLC (The Wellness Pharmacy)
• Jack Ricci DC PC
• Alyssa Jackson, LPC
• Barbara A Jackson, RD

• Professional Counselor in Winchester, VA
• Providers in Winchester, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.