Active NPI
Matthew William Heard, M.S., L.P.C.
- Counselor
- Dothan, AL
National Provider Identifier
1508121278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3052
- Practice address
- 256 Honeysuckle Rd
Suite 14
Dothan, AL 36305-1157 - Phone
- (334) 794-5467
- Fax
- (334) 677-1051
- NPI assigned
- Jul 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3052 | AL | Primary |
Addresses
Primary practice location
256 Honeysuckle Rd
Suite 14
Dothan, AL 36305-1157
Mailing address
117 Mill Creek Cir
Dothan, AL 36305-9365
Phone (334) 794-5467
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 |
|---|---|---|---|
| 3052 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1508121278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MILL CREEK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363059365",
"telephone_number": "334-794-5467",
"fax_number": "334-677-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 HONEYSUCKLE RD",
"address_2": "SUITE 14",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051157",
"telephone_number": "334-794-5467",
"fax_number": "334-677-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "MATTHEW",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "M.S., L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-09",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "3052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.