Individual provider Active NPI

Jessica Heinze

  • Professional Counselor
  • Prosper, TX
National Provider Identifier
1780282632
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80527 Issued in TX
Practice address
130 N Preston Rd Ste 221
Prosper, TX 75078-3186
Phone
(469) 850-0095
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 80527 TX Primary

Addresses

Primary practice location

130 N Preston Rd Ste 221
Prosper, TX 75078-3186

Mailing address

130 N Preston Rd Ste 221
Prosper, TX 75078-3186
Phone (469) 850-0095

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@madewellcounselingandwellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80527TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Made Well Counseling and Wellness PLLC Professional Current Accepting new patients
Blank Slate Therapy Professional PastSince Oct 1, 2020 Accepting new patients

Locations

130 N Preston Rd
Ste 221
Prosper, TX 75078
Phone (469) 850-0095

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1780282632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N PRESTON RD STE 221",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783186",
            "telephone_number": "469-850-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N PRESTON RD STE 221",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783186",
            "telephone_number": "469-850-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZE",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@madewellcounselingandwellness.com",
            "affiliation": "N",
            "address_1": "130 N Preston Rd Ste 221",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750783186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.