Organization Active NPI

Heilman Healing, LLC

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1609220946
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801083637 Issued in MI
Legal business name
HEILMAN HEALING, LLC
Practice address
628 N Main St # 21
Royal Oak, MI 48067-1834
Phone
(248) 752-8019
Fax
(248) 554-0200
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Heather M Heilman, LMSW, RNNPI 1801994512
Title
Owner/Psychotherapist & Counselor
Phone
(248) 752-8019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801083637 MI Primary

Addresses

Primary practice location

628 N Main St # 21
Royal Oak, MI 48067-1834

Mailing address

408 E Farnum Ave
Royal Oak, MI 48067-3676

Other identifiers 1

IdentifierTypeStateIssuer
VS0036119MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718001138 MI Part B Supplier - Clinic/Group Practice 6709178494 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

37899 W 12 Mile Rd
Ste 100
Farmington Hills, MI 48331

37899 W 12 Mile Rd
Bldg C
Farmington Hills, MI 48331
Phone (248) 752-8019

628 N Main St
#21
Royal Oak, MI 48067
Phone (248) 752-8019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1609220946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E FARNUM AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N MAIN ST # 21",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671834",
            "telephone_number": "248-752-8019",
            "fax_number": "248-554-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEILMAN HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "HEILMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST & COUNSELOR",
        "authorized_official_telephone_number": "248-752-8019",
        "authorized_official_credential": "LMSW, RN"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0036119",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.