Heather Devereaux, Lscsw, RPT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4737 Issued in KS

Legal business name

HEATHER DEVEREAUX, LSCSW, RPT

Practice address

560 N Exposition St
Wichita, KS 67203-5902

Phone

(316) 993-6139

NPI assigned

Aug 10, 2018

Last updated

Aug 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Heather Devereaux, LSCSW, RPTNPI 1952710451

Title

Owner

Phone

(316) 993-6139

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Devereaux, LMSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1952710451
  NPD Authorized official

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1447739354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14118 W HIGHLAND SPRINGS CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358060",
            "telephone_number": "316-993-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N EXPOSITION ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035902",
            "telephone_number": "316-993-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER DEVEREAUX, LSCSW, RPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "DEVEREAUX",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-993-6139",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952710451",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hearts of Love LLC
• Heartsoulmind Therapy LLC
• Heartspring Inc
• Heartspring, Inc
• Heartspring, Inc
• Heather L Kessler PSYD LLC (Rebel Mindcare)
• Heather L. Holcomb, Lscsw, LLC
• Mary Leona Heavener, MD
• Kimberly L Hebert, PAC
• Jennifer Renee' Hecht, LCPC

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.