Individual provider Active NPI

Heidi Renee Conlin, M.S., LPC, LMFT

  • Professional Counselor
  • Boerne, TX
National Provider Identifier
1639492788
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64720 Issued in TX
Practice address
101 Woods of Boerne Blvd Ste 200
Boerne, TX 78006-2882
Phone
(830) 967-7422
NPI assigned
Mar 3, 2010
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201300 TX
Professional Counselor 101YP2500X 64720 TX Primary

Addresses

Primary practice location

101 Woods of Boerne Blvd Ste 200
Boerne, TX 78006-2882

Mailing address

101 Woods of Boerne Blvd Ste 200
Boerne, TX 78006-2882
Phone (830) 967-7422

Other names 1

  • Heidi Renee Haddock Former name

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 Science

State licenses

LicenseStateTypeSpecialty
64720TXMDProfessional Counselor
201300TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling Center of Texas, LLC Mental Health CurrentSince Mar 24, 2025 Accepting new patients
Betty's Health Company, LLC PastSince Dec 1, 2021 Accepting new patients
Betty's Care PastSince Dec 1, 2021 Accepting new patients

Locations

101 Woods of Boerne Blvd
Ste 200
Boerne, TX 78006
Phone (830) 967-7422

Organizations & group practices 3

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": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1639492788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODS OF BOERNE BLVD STE 200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062882",
            "telephone_number": "830-967-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOODS OF BOERNE BLVD STE 200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062882",
            "telephone_number": "830-967-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLIN",
        "first_name": "HEIDI",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HADDOCK",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.