Active NPI
Susan Heimbaugh, MA
- Marriage & Family Therapist
- Baytown, TX
National Provider Identifier
1588726434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 419
- Practice address
- 1003 Polly St
Baytown, TX 77520 - Phone
- (281) 427-0453
- Fax
- (281) 422-6389
- NPI assigned
- Dec 15, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10033 | TX | |
| Marriage & Family Therapist | 106H00000X | 419 | TX | Primary |
Addresses
Primary practice location
1003 Polly St
Baytown, TX 77520
Mailing address
1003 Polly St
Baytown, TX 77520
Phone (281) 427-0453
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 419 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1588726434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 POLLY ST",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "77520",
"telephone_number": "281-427-0453",
"fax_number": "281-422-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 POLLY ST",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "77520",
"telephone_number": "281-427-0453",
"fax_number": "281-422-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMBAUGH",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "10033",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.