Individual provider Active NPI

Heide Burch, PH.D.

  • Mental Health Counselor
  • Glens Falls, NY
National Provider Identifier
1487907002
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012253 Issued in VA
Practice address
333 Glen St Ste 200F
Glens Falls, NY 12801-3666
Phone
(518) 480-7066
Fax
(518) 636-1882
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC6491 ME
Mental Health Counselor 101YM0800X 006398 NY
Mental Health Counselor 101YM0800X 0701012253 VA Primary

Addresses

Primary practice location

333 Glen St Ste 200F
Glens Falls, NY 12801-3666

Mailing address

6561 Hazel Hollow Rd
Dublin, VA 24084-5679
Phone (518) 480-7066

Other practice location 1

6561 Hazel Hollow Rd
Dublin, VA 24084-5679
Phone (518) 480-7066

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CC6491MEMDMental Health Counselor
0701012253VAMDMental Health Counselor
006398NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Stable Haven Counseling PLLC Mental Health CurrentSince Nov 19, 2023 Accepting new patients
Ecs Psychological Services PC Mental Health PastSince Nov 1, 2007 Accepting new patients
Ecs Wellness Psychology Mental Health PastSince Oct 6, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1487907002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6561 HAZEL HOLLOW RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240845679",
            "telephone_number": "518-480-7066",
            "fax_number": "518-636-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN ST STE 200F",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013666",
            "telephone_number": "518-480-7066",
            "fax_number": "518-636-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6561 Hazel Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "VA",
            "postal_code": "240845679",
            "country_code": "US",
            "telephone_number": "518-480-7066",
            "fax_number": "518-636-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCH",
        "first_name": "HEIDE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC6491",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006398",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.