Individual provider Active NPI

Heather Morgan Stelmok, LMHC, LPC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1508821943
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12662 Issued in FL
Practice address
1500 S Tuttle Ave
Sarasota, FL 34239
Phone
(941) 960-2565
Fax
(941) 952-1711
NPI assigned
Apr 19, 2006
Last updated
Jul 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4597 NC
Mental Health Counselor 101YM0800X MH12662 FL Primary

Addresses

Primary practice location

1500 S Tuttle Ave
Sarasota, FL 34239

Mailing address

1500 S Tuttle Ave
Sarasota, FL 34239-2615
Phone (941) 960-2565

Other practice location 1

600 Jackson St
Roanoke Rapids, NC 27870-7161
Phone (252) 537-6164 ext. 24

Other identifiers 2

IdentifierTypeStateIssuer
140F6OtherNCBCBS
6102387MedicaidNC

Other names 1

  • Heather Nicole Morgan Former name

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

LicenseStateTypeSpecialty
MH12662FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carriage House Psychological Associates, PLLC Mental Health Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1508821943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392615",
            "telephone_number": "941-960-2565",
            "fax_number": "941-952-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-960-2565",
            "fax_number": "941-952-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Roanoke Rapids",
            "state": "NC",
            "postal_code": "278707161",
            "country_code": "US",
            "telephone_number": "252-537-6164 x24",
            "fax_number": "252-537-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELMOK",
        "first_name": "HEATHER",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "4597",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "140F6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102387",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MORGAN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.