Individual provider Active NPI

Heather Kilbride Henig, MD

  • Child & Adolescent Psychiatry Physician
  • Reston, VA
National Provider Identifier
1699983692
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101244343 Issued in VA
Practice address
11490 Commerce Park Dr Ste 420
Reston, VA 20191
Phone
(703) 481-9111
Fax
(703) 707-8657
NPI assigned
May 21, 2007
Last updated
May 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 0101244343 VA Primary

Addresses

Primary practice location

11490 Commerce Park Dr Ste 420
Reston, VA 20191

Mailing address

1314A Kenmore Ave
Fredericksburg, VA 22401-4513
Phone (256) 293-9283

Other practice location 1

600 Jackson St
Fredericksburg, VA 22401-5719
Phone (540) 373-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140902001751 VA Practitioner - Psychiatry 7517011588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspring Child and Family Psychology, PCGroup PAC ID 5294036513, 9 clinicians

Practice addresses (Care Compare)

615 Emancipation Hwy
Suite 101
Fredericksburg, VA 22401-8407
Phone (540) 268-3388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Child and Family Psychology, PC CurrentSince Aug 18, 2023 Accepting new patients
Gadsden Hma Physician Management, LLC PastSince Jul 24, 2012 Accepting new patients
Highland Health Systems Past Accepting new patients
Vaught Christian Counseling PC Past Accepting new patients

Locations

615 Emancipation Hwy
Ste 101
Fredericksburg, VA 22401
Phone (540) 268-3388

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/highlandhealthsystems/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1699983692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314A KENMORE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014513",
            "telephone_number": "256-293-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11490 COMMERCE PARK DR STE 420",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20191",
            "telephone_number": "703-481-9111",
            "fax_number": "703-707-8657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224015719",
            "country_code": "US",
            "telephone_number": "540-373-3223",
            "fax_number": "540-371-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENIG",
        "first_name": "HEATHER",
        "middle_name": "KILBRIDE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101244343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.