Individual provider Active NPI

Heather Jean Mask, LPC

  • Professional Counselor
  • High Point, NC
National Provider Identifier
1437207883
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3894 Issued in NC
Practice address
3929 Tinsley Dr Ste 104
High Point, NC 27265-1531
Phone
(336) 841-4307
Fax
(336) 841-7267
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3894 NC Primary

Addresses

Primary practice location

3929 Tinsley Dr Ste 104
High Point, NC 27265-1531

Mailing address

3929 Tinsley Dr Ste 104
High Point, NC 27265-1531
Phone (336) 841-4307

Other identifiers 5

IdentifierTypeStateIssuer
182980OtherNCMEDCOST PROVIDER NUMBER
6102968MedicaidNC
7638492OtherNCAETNA PROVIDER NUMBER
242175OtherNCUNITED BEHAVIORAL HEALTH
135NKOtherNCBCBS PROVIDER NUMBER

Other names 1

  • Heather Jean Caviness Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240301001058 NC Practitioner - Mental Health Counselor 8628093853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Holistic Healing PCGroup PAC ID 7911922141, 9 clinicians

Practice addresses (Care Compare)

3929 Tinsley Dr
Suite 104
High Point, NC 27265-1531
Phone (336) 841-4307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Holistic Healing PC Professional CurrentSince Jan 1, 2024 Accepting new patients
The Center for Emotional Healing P.C. Professional Current Accepting new patients

Locations

3929 Tinsley Dr
Ste 104
High Point, NC 27265
Phone (336) 841-3226

Organizations & group practices 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1437207883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 TINSLEY DR STE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651531",
            "telephone_number": "336-841-4307",
            "fax_number": "336-841-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 TINSLEY DR STE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651531",
            "telephone_number": "336-841-4307",
            "fax_number": "336-841-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASK",
        "first_name": "HEATHER",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER NUMBER",
            "identifier": "182980",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102968",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7638492",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "242175",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "135NK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CAVINESS",
            "middle_name": "JEAN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.