Kelly Deneen Heinzman, MED LPC LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717000464 Issued in VA

Practice address

1101 Wilson Blvd
Arlington, VA 22209-2211

Phone

(703) 625-4182

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1467003715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 36TH RD N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222074817",
            "telephone_number": "703-625-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092211",
            "telephone_number": "703-625-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZMAN",
        "first_name": "KELLY",
        "middle_name": "DENEEN",
        "credential": "MED LPC LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0701001713",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Bodies Clinic
• Nicole Hedrick
• Elizabeth Mackenzie Heider
• Kathleen Renee Heim, M.D.
• Abbey Heimbach, OTD, OTR/L
• Sheila Rose Heller, NP-C
• Diane J. Hendel, NP-C
• Brittany Henderson, DDS
• Susan K Hendricks, MD
• Bridgid Hanley Hendrixson, CCC-SLP

• Marriage & Family Therapist in Arlington, VA
• Providers in Arlington, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.