Active NPI
Katherine Collins Heard, LCPC
- Professional Counselor
- Camden, ME
National Provider Identifier
1790870517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC3612
- Practice address
- 21 Elm St FL 3
Camden, ME 04843-1902 - Phone
- (207) 691-2742
- NPI assigned
- Oct 4, 2006
- Last updated
- May 5, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC3612 | ME | Primary |
Addresses
Primary practice location
21 Elm St FL 3
Camden, ME 04843-1902
Mailing address
61 Mountain St
Camden, ME 04843-4442
Phone (207) 691-2742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432289299 | Medicaid | ME |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1790870517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MOUNTAIN ST",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048434442",
"telephone_number": "207-691-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 ELM ST FL 3",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048431902",
"telephone_number": "207-691-2742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "KATHERINE",
"middle_name": "COLLINS",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC3612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432289299",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.