Individual provider Active NPI

Tawnya Heineken, LPCC

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1669608337
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0201131 Issued in NM
Practice address
1990 E Lohman Ave Ste 113
Las Cruces, NM 88001-3172
Phone
(575) 312-0668
NPI assigned
Jun 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CCMH0201131 NM Primary

Addresses

Primary practice location

1990 E Lohman Ave Ste 113
Las Cruces, NM 88001-3172

Mailing address

1990 E Lohman Ave Ste 113
Las Cruces, NM 88001-3172
Phone (575) 312-0668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222002569 NM Practitioner - Mental Health Counselor 8729422324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1990 E Lohman Ave
Suite 113
Las Cruces, NM 88001-3172
Phone (575) 312-0668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heineken Counseling LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1669608337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE STE 113",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013172",
            "telephone_number": "575-312-0668",
            "fax_number": "575-524-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE STE 113",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013172",
            "telephone_number": "575-312-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEKEN",
        "first_name": "TAWNYA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0201131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.