Organization Active NPI

Heather Zelaya Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, AR
National Provider Identifier
1659077675
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEATHER ZELAYA THERAPY PLLC
Practice address
2894 N McKee Cir Ste 122
Fayetteville, AR 72703-3498
Phone
(479) 310-6886
Fax
(479) 318-1241
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Heather Gail Zelaya, LCSWNPI 1417146986
Title
Owner
Phone
(479) 799-5992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2894 N McKee Cir Ste 122
Fayetteville, AR 72703-3498

Mailing address

214 E Adobe St
Fayetteville, AR 72703-3342
Phone (479) 799-5992

Other practice location 1

214 E Adobe St
Fayetteville, AR 72703-3342
Phone (479) 799-5992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613001010 AR Part B Supplier - Clinic/Group Practice 2062879695 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory

Locations

19 E Mountain St
Fayetteville, AR 72701
Phone (479) 222-1671

2894 N McKee Cir
Ste 122
Fayetteville, AR 72703
Phone (479) 310-6886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1659077675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E ADOBE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033342",
            "telephone_number": "479-799-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 N MCKEE CIR STE 122",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033498",
            "telephone_number": "479-310-6886",
            "fax_number": "479-318-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E Adobe St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727033342",
            "country_code": "US",
            "telephone_number": "479-799-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEATHER ZELAYA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "ZELAYA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-799-5992",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.