Active NPI
Heidi Renee Conlin, M.S., LPC, LMFT
- Professional Counselor
- Boerne, TX
National Provider Identifier
1639492788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64720
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64720 | TX | MD | Professional Counselor |
| 201300 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Center of Texas, LLC | Mental Health | Current | Accepting new patients |
| Betty's Health Company, LLC | Past | Accepting new patients | |
| Betty's Care | Past | 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.
-
- Mental Health Counselor
- Boerne, TX
- NPI 1770363715
-
- Gynecology Physician
- San Antonio, TX
- NPI 1689254930
-
- Gynecology Physician
- San Antonio, TX
- NPI 1306430863
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.