Heidi Jo Eynon, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0114111 Issued in NM

Practice address

1213 Don Gaspar Ave
Santa Fe, NM 87505-0625

Phone

(505) 577-1025

NPI assigned

Dec 7, 2006

Last updated

Feb 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Morning Star Family Therapy, LLC

  • Mental Health Counselor
  • Santa Fe, NM
  • NPI 1114224102
  NPD (past) Authorized official

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1508925389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22092",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875022092",
            "telephone_number": "505-577-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 DON GASPAR AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875050625",
            "telephone_number": "505-577-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYNON",
        "first_name": "HEIDI",
        "middle_name": "JO",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0114111",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "LCP 330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54580781",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Associates of New Mexico, LTD. (Eye Associates of New Mexico)
• Eye Associates of New Mexico, LTD. (Eye Associates of New Mexico)
• Eye Design LLC
• Eye Surgery Centers of New Mexico, LLC (Surgery Center of Santa Fe)
• Eyemart Express LLC
• Sylvie M Eyral, LISW
• Steven C Eyre, M.D.
• Jordan Ezeanyim, PHARMD
• Tracy Fabre
• Karen E Factor, DOM

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.