Individual provider Active NPI

Tru Lotus Faye Heinze

  • Counselor
  • Renton, WA
National Provider Identifier
1538870753
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC61676865 Issued in WA
Practice address
200 S 2ND St
Renton, WA 98057-2011
Phone
(425) 226-5536
Fax
(425) 226-0354
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Counselor 101Y00000X MC61676865 WA Primary

Addresses

Primary practice location

200 S 2ND St
Renton, WA 98057-2011

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908

Other practice location 1

2902 NE 12th St Ste 102
Renton, WA 98056-3297
Phone (425) 882-6000

Other identifiers 2

IdentifierTypeStateIssuer
1319833MedicaidMA
M21400OtherMALOCAL MEDICARE

Other names 1

  • Trudy Mary Goetchius Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address theinze28485@healthpoint.direct-ci.com

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
MC61676865WAMDCounselor

Interoperability endpoints

  • Direct secure messaging: theinze28485@healthpoint.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1538870753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572011",
            "telephone_number": "425-226-5536",
            "fax_number": "425-226-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 NE 12th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980563297",
            "country_code": "US",
            "telephone_number": "425-882-6000",
            "fax_number": "425-228-0279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINZE",
        "first_name": "TRU LOTUS",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61676865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319833",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL MEDICARE",
            "identifier": "M21400",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theinze28485@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "200 S 2nd St",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRUDY",
            "last_name": "GOETCHIUS",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.