Nicole Ann Heenan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC20383 Issued in SD

Practice address

518 6TH St Ste 4
Rapid City, SD 57701-5000

Phone

(605) 939-0340

NPI assigned

May 27, 2019

Last updated

May 27, 2019By 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 1

Addresses

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": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1639736572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3634",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577093634",
            "telephone_number": "605-645-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 6TH ST STE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015000",
            "telephone_number": "605-939-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Soo San Dr",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577023142",
            "country_code": "US",
            "telephone_number": "605-343-7297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEENAN",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC20383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Heaton, DPT
• Thomas Heaton, DO
• Teri Dawn Heavlin, CNP
• Rebecca Lavon Hedeen, OTR/L
• Mindy G Hedlund, PHD
• Tracy Krafthefer Heeter, D.D.S.
• Megan Heggen
• Beth Heier, PT, DPT
• Karl John Heilman III, MD
• Jacob Heinen

• Mental Health Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; 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.