Active NPI
Holly Heaven
- Professional Counselor
- Stratford, CT
National Provider Identifier
1457986580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000752
- Practice address
- 2225 Main St
Stratford, CT 06615-5920 - Phone
- (203) 414-4985
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000752 | CT | Primary |
Addresses
Primary practice location
2225 Main St
Stratford, CT 06615-5920
Mailing address
PO Box 11
Derby, CT 06418-0011
Phone (203) 414-4985
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Heaven | Professional | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Another Way Counseling Service LLC
- Mental Health Counselor
- Bridgeport, CT
- NPI 1639791106
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1457986580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11",
"city": "DERBY",
"state": "CT",
"postal_code": "064180011",
"telephone_number": "203-414-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 MAIN ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066155920",
"telephone_number": "203-414-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAVEN",
"first_name": "HOLLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
- Barbara W. Heafy, PT
- John Healey, PHARMD
- Health Care Advocates International, Inc. (Gary Blick MD)
- Health Care Advocates International, LLC (HCAI Pharmacy)
- Health Care Advocates International, LLC (HCAI Pharmacy)
- Jennifer Hedrick-Schacher
- Denise Hendrick, OTR/L, CHT
- Jessica C Hodges, RPT
- Holistic Psychiatric Services LLC
- Troy Anthony Hollowell Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.