Heather Pullen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60594 Issued in TX

Practice address

2018 Avenue B Ste 105
San Antonio, TX 78215-1169

Phone

(210) 834-3153

NPI assigned

Mar 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling4Life, LLCGroup PAC ID 5496163511, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heatherpullen@tdh.allscriptsdirect.net

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.

• Counseling4Life, LLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1932519063

  Mental Health

  Medicare reassignment Care Compare group NPD
• Brown & Brown Resources Inc.

  • Home Health Agency
  • San Antonio, TX
  • NPI 1346266723
  NPD
• Stephanie a Richards LPC, PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1609634328
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Goodmindrx

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
  • NPI 1922837491
  NPD (past)

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1760067508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 RAIN SHR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492288",
            "telephone_number": "210-834-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 AVENUE B STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151169",
            "telephone_number": "210-834-3153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7814 Rain Shr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782492288",
            "country_code": "US",
            "telephone_number": "210-834-3153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Isabella Pulido, PHARMD
• Rochelle Alexis Pulido
• Shayla Pulido
• Kim A. Pulis, RN
• Angela Diane Pullen, RN
• Melanie Hope Pullen, O.D.
• Kimberly Denise Pulley Vanburen, LPC
• Maya Pulliam
• Clayton Louis Pullin, M.D.
• Tara Pullin

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.