Kyle Heinicke

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19659 Issued in NC

Practice address

3800 Meeting St Ste 230
Indian Trail, NC 28079-6582

Phone

(704) 237-0705

NPI assigned

Feb 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bright View Counseling PLLC

  • Mental Health Counselor
  • Indian Trail, NC
  • NPI 1063188548
  NPD

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1700649696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MEETING ST STE 230",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MEETING ST STE 230",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796582",
            "telephone_number": "704-237-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINICKE",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Hattersley, D.C.
• Sheena Devika Shukla Hauser, DDS
• Helen Bernice Hayes, FNP-BC, PMHNP-BC
• Heartwood Ventures, LLC
• Quantavia Nashea Heath, BSN, RN
• Andrew Helms
• Kelly Michelle Helms, PTA
• Henry Ernst, DMD, PA (Pleasant Plains Dental)
• Shanice Hicklen
• Carlee Rachell Hickman

• Mental Health Counselor in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.