Active NPI
Bradley Vincent Heimann, B.A., B.S.
- Mental Health Counselor
- Eugene, OR
National Provider Identifier
1790058857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1790 W LLTH Ave.
Suite 200
Eugene, OR 97402 - Phone
- (541) 686-2688
- NPI assigned
- Feb 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1790 W LLTH Ave.
Suite 200
Eugene, OR 97402
Mailing address
4885 Aster St
Apt 10
Springfield, OR 97478-6695
Phone (520) 975-7928
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
- Credentials
- Bachelor of Arts, Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1790058857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4885 ASTER ST",
"address_2": "APT 10",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974786695",
"telephone_number": "520-975-7928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 W LLTH AVE.",
"address_2": "SUITE 200",
"city": "EUGENE",
"state": "OR",
"postal_code": "97402",
"telephone_number": "541-686-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMANN",
"first_name": "BRADLEY",
"middle_name": "VINCENT",
"credential": "B.A., B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
- Gerrick Timon Hegarty, QMHA
- Naamith Heiblum, PH.D., QMHP
- Nathan Joseph Heide, DAOM LAC
- Jennifer Anne Heideman, LMT
- Heidi C. Schelling, PHD, Licsw, Psychotherapy Services, LLC (Heidi C Schelling Phd LICSW)
- Christina M Heinrich, PHARM.D.
- Eden Keats Heinzke
- Annelise P Heitman, LMFT
- Michelle Kay Heitman, LMT
- Michael Hejazi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.