NPIMap

Organization Active NPI

Heckendorn Consultation and Therapy, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1467883587
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HECKENDORN CONSULTATION AND THERAPY, PLLC
Practice address
220 Collingwood St Ste 140
Ann Arbor, MI 48103-3842
Phone
(734) 274-0536
Fax
(734) 527-6184
NPI assigned
Nov 30, 2013
Last updated
Feb 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Jennifer Trina HeckendornNPI 1194067421
Title
Ceo
Phone
(734) 274-0536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

220 Collingwood St Ste 140
Ann Arbor, MI 48103-3842

Mailing address

220 Collingwood St Ste 140
Ann Arbor, MI 48103-3842
Phone (734) 274-0536

Other practice location 1

2350 Washtenaw Ave
Ste 7
Ann Arbor, MI 48104-4532
Phone (734) 274-0536

Other practice location 2

220 Collingwood St Ste 240
Ann Arbor, MI 48103-3842
Phone (734) 274-0536 ext. 2

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140930001470 MI Part B Supplier - Clinic/Group Practice 1254551096 Receives reassigned benefits from 3 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

1945 Pauline Blvd
Ste 15C
Ann Arbor, MI 48103
Phone (734) 274-0536

210 Collingwood St
Ste 120B
Ann Arbor, MI 48103
Phone (734) 274-0536

220 Collingwood St
Ste 240
Ann Arbor, MI 48103
Phone 7342740536 ext. 2

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1385769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1467883587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COLLINGWOOD ST STE 140",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033842",
            "telephone_number": "734-274-0536",
            "fax_number": "734-527-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COLLINGWOOD ST STE 140",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033842",
            "telephone_number": "734-274-0536",
            "fax_number": "734-527-6184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Washtenaw Ave",
            "address_2": "Ste 7",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481044532",
            "country_code": "US",
            "telephone_number": "734-274-0536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Collingwood St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481033842",
            "country_code": "US",
            "telephone_number": "734-274-0536 x2",
            "fax_number": "734-527-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HECKENDORN CONSULTATION AND THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-30",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "HECKENDORN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "TRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-274-0536"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.