Individual provider Active NPI

Robin Rae Heflin-Woods, LMFT LMHC

  • Mental Health Counselor
  • Maple Valley, WA
National Provider Identifier
1679754089
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009510 Issued in WA
Practice address
22142 SE 237TH St
Suite 5
Maple Valley, WA 98038-8534
Phone
(206) 529-5046
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00009510 WA Primary
Marriage & Family Therapist 106H00000X LF00002163 WA

Addresses

Primary practice location

22142 SE 237TH St
Suite 5
Maple Valley, WA 98038-8534

Mailing address

22142 SE 237TH St
Suite 5
Maple Valley, WA 98038-8534
Phone (206) 529-5046

Other names 1

  • Mrs. Robin Rae Vendelin Former name

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

State licenses

LicenseStateTypeSpecialty
LH00009510WAMDMental Health Counselor
LF00002163WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1679754089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22142 SE 237TH ST",
            "address_2": "SUITE 5",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388534",
            "telephone_number": "206-529-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22142 SE 237TH ST",
            "address_2": "SUITE 5",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388534",
            "telephone_number": "206-529-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFLIN-WOODS",
        "first_name": "ROBIN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LMFT LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009510",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "VENDELIN",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "LMFT LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.