Robert James Heckrote, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC12311 Issued in PA

Practice address

1057 Lockard Rd
Muncy, PA 17756-7936

Phone

(570) 394-3380

NPI assigned

Apr 23, 2020

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

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.

• Bravo Counseling & Services LLC

  • Adult Mental Health Clinic/Center
  • Muncy, PA
  • NPI 1518546480
  NPD Authorized official

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1740800341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 LOCKARD RD",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177567936",
            "telephone_number": "570-394-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 LOCKARD RD",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177567936",
            "telephone_number": "570-394-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Hughesville",
            "state": "PA",
            "postal_code": "177371203",
            "country_code": "US",
            "telephone_number": "570-394-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKROTE",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC12311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Claire Hampton II, D.C.
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• Sherry L Heckman, MSW, LSW
• Jennifer Caitlin Heikkinen, PHARMD, BCACP
• Leslie K Heiney, M.S., CCC-SLP
• Dwight Heller, OTC
• Logan Henry, PA-C
• Jacob James Herron

• All providers in Muncy, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.