Individual provider Active NPI

Janet Heuring, LCAS, LPA, HSP-PA

  • Clinical Psychologist
  • Morrisville, NC
National Provider Identifier
1659752905
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4887 Issued in NC
Practice address
133 Keybridge Dr
Suite a
Morrisville, NC 27560-5915
Phone
(919) 749-5724
Fax
(919) 882-1426
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-21893 NC
Clinical Psychologist 103TC0700X 4887 NC Primary

Addresses

Primary practice location

133 Keybridge Dr
Suite a
Morrisville, NC 27560-5915

Mailing address

4501 New Bern Ave
Suite 130-183
Raleigh, NC 27610-1549
Phone (919) 819-5736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 22, 2018 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4887NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Psychological Services PLLC Clinical Past Accepting new patients
Janet Heuring Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1659752905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 NEW BERN AVE",
            "address_2": "SUITE 130-183",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101549",
            "telephone_number": "919-819-5736",
            "fax_number": "919-882-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 KEYBRIDGE DR",
            "address_2": "SUITE A",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605915",
            "telephone_number": "919-749-5724",
            "fax_number": "919-882-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEURING",
        "first_name": "JANET",
        "credential": "LCAS, LPA, HSP-PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21893",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.