Heather Marie Ulstad, MS MERP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704017237 Issued in VA

Practice address

1380 Central Park Blvd Ste 204
Fredericksburg, VA 22401-4926

Phone

(540) 602-2545

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Revelations Counseling & Consulting, LLC

  • Community/Behavioral Health Agency
  • Fredericksburg, VA
  • NPI 1275813347
  NPD

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1609609320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 CENTRAL PARK BLVD STE 204",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014926",
            "telephone_number": "540-602-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CENTRAL PARK BLVD STE 204",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014926",
            "telephone_number": "540-602-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULSTAD",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "MS MERP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704017237",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704017237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qurat Ul Ain, MD
• Rachel Ulbricht-Montague, LCSW
• Early Aryani Ulloa
• Bonnie Lynne Ulrich, LCSW
• Kimberly Ann Ulrich, SLP
• Ultimate Family Wellness
• Tatiana Umana, LCSW
• Samuel Umesegha, MD
• Robin S. Umphlet, CRNA
• Helena Lee Unhoch Maccauley, LMHPE

• Counselor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.