Active NPI
Jennifer E Heaton, LCPC, NCC
- Mental Health Counselor
- Kensington, MD
National Provider Identifier
1467983304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP7720
- Practice address
- 3750 University Blvd W Ste 200
Kensington, MD 20895-2136 - Phone
- (301) 338-6900
- NPI assigned
- Mar 22, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP7720 | MD | |
| Mental Health Counselor | 101YM0800X | LGP7720 | MD | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LGP7720 | MD |
Addresses
Primary practice location
3750 University Blvd W Ste 200
Kensington, MD 20895-2136
Mailing address
3750 University Blvd W
Suite 200
Kensington, MD 20895-4046
Phone (301) 639-9847
Other practice location 1
975 Solomons Island Rd N
Prince Frederick, MD 20678-3917
Phone (410) 535-5400
Other practice location 2
3819 Harbor Rd
suite 103
Chesapeake Beach, MD 20732-3109
Phone (410) 286-0547
Other names 1
- Ms. Jennifer Heaton
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP7720 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1467983304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 UNIVERSITY BLVD W",
"address_2": "SUITE 200",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208954046",
"telephone_number": "301-639-9847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 UNIVERSITY BLVD W STE 200",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952136",
"telephone_number": "301-338-6900"
}
],
"practiceLocations": [
{
"address_1": "975 Solomons Island Rd N",
"address_purpose": "LOCATION",
"city": "Prince Frederick",
"state": "MD",
"postal_code": "206783917",
"country_code": "US",
"telephone_number": "410-535-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3819 Harbor Rd",
"address_2": "suite 103",
"address_purpose": "LOCATION",
"city": "Chesapeake Beach",
"state": "MD",
"postal_code": "207323109",
"country_code": "US",
"telephone_number": "410-286-0547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEATON",
"first_name": "JENNIFER",
"middle_name": "E",
"credential": "LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP7720",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP7720",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LGP7720",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HEATON",
"prefix": "MS.",
"credential": "LCPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.