Active NPI
Heidi B Roeder, M.S., LPC, LMFT, CST
- Professional Counselor
- Camp Hill, PA
National Provider Identifier
1487721288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003508
- Practice address
- 51 Central Blvd
Camp Hill, PA 17011-4212 - Phone
- (717) 585-0529
- NPI assigned
- Nov 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000670 | PA | |
| Professional Counselor | 101YP2500X | PC003508 | PA | Primary |
Addresses
Primary practice location
51 Central Blvd
Camp Hill, PA 17011-4212
Mailing address
1431 Woolford Way
Mechanicsburg, PA 17055-7063
Phone (717) 585-0529
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC003508 | PA | MD | Professional Counselor |
| MF000670 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1487721288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 WOOLFORD WAY",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170557063",
"telephone_number": "717-585-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 CENTRAL BLVD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114212",
"telephone_number": "717-585-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDER",
"first_name": "HEIDI",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "M.S., LPC, LMFT, CST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000670",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.