Individual provider Active NPI

Kevin Heckathorn, MA, PCC

  • Professional Counselor
  • Westerville, OH
National Provider Identifier
1619038130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E3639 Issued in OH
Practice address
975 S Sunbury Rd
Westerville, OH 43081-9345
Phone
(614) 865-0513
Fax
(614) 882-1380
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E3639 OH Primary

Addresses

Primary practice location

975 S Sunbury Rd
Westerville, OH 43081-9345

Mailing address

1157 Hempstead CT
Westerville, OH 43081-2511
Phone (614) 891-7840

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

LicenseStateTypeSpecialty
E3639OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central College Christian Counseling Professional Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619038130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 HEMPSTEAD CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812511",
            "telephone_number": "614-891-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S SUNBURY RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819345",
            "telephone_number": "614-865-0513",
            "fax_number": "614-882-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKATHORN",
        "first_name": "KEVIN",
        "credential": "MA, PCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.