Organization Active NPI

Stephen B Heilman Counseling Resource Associates

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1710164926
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3131 Issued in OH
Legal business name
STEPHEN B HEILMAN COUNSELING RESOURCE ASSOCIATES
Practice address
9900 Cincinnati Columbus Rd
Cincinnati, OH 45241-1209
Phone
(513) 779-9955
Fax
(513) 779-9955
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Dr. Stephen Bernard Heilman, ED D PSYCHOLOGYNPI 1396851929
Title
Director
Phone
(513) 779-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 3131 OH Primary

Addresses

Primary practice location

9900 Cincinnati Columbus Rd
Cincinnati, OH 45241-1209

Mailing address

9900 Cincinnati Columbus Rd
Cincinnati, OH 45241-1209
Phone (513) 779-9955

Other identifiers 1

IdentifierTypeStateIssuer
10661OtherMEDICARE HECP

Other names 1

  • Stephen B. Heilman Counseling Resource Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000870 OH Part B Supplier - Clinic/Group Practice 8921031154 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, OH

National Provider Directory

National Provider Directory

Locations

9900 Cincinnati Columbus Rd
West Chester, OH 45241
Phone (513) 779-9955

9900 Cincinnati Columbus Rd
#R
West Chester, OH 45241
Phone (513) 779-9955

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1710164926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 CINCINNATI COLUMBUS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411209",
            "telephone_number": "513-779-9955",
            "fax_number": "513-779-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 CINCINNATI COLUMBUS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411209",
            "telephone_number": "513-779-9955",
            "fax_number": "513-779-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN B HEILMAN COUNSELING RESOURCE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "HEILMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-779-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED D PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HECP",
            "identifier": "10661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen B. Heilman Counseling Resource Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.