Kevin N. Heller, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC000628 Issued in PA

Practice address

960 Century Dr
Mechanicsburg, PA 17055-4374

Phone

(717) 795-0330

Fax

(717) 795-0407

NPI assigned

Jun 16, 2006

Last updated

Mar 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1629012752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N 2ND ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431308",
            "telephone_number": "717-763-4194",
            "fax_number": "570-322-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CENTURY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554374",
            "telephone_number": "717-795-0330",
            "fax_number": "717-795-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "KEVIN",
        "middle_name": "N.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50000145",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.