Individual provider Active NPI

Heather Kennedy Perez, MS, LPC, NCC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1811521099
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77742 Issued in TX
Practice address
900 NE Loop 410 Ste D200
San Antonio, TX 78209-1407
Phone
(210) 822-2600
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 42129 TX
Professional Counselor 101YP2500X 77742 TX Primary

Addresses

Primary practice location

900 NE Loop 410 Ste D200
San Antonio, TX 78209-1407

Mailing address

307 Florida St
San Antonio, TX 78210-1515

Other names 1

  • Heather L Kennedy Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240124003565 TX Practitioner - Mental Health Counselor 3577916741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo Heights Counseling Inc.Group PAC ID 1355576521, 12 clinicians

Practice addresses (Care Compare)

900 NE Loop
410 Suite D200
San Antonio, TX 78209-1407
Phone (210) 822-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
42129TXMDAddiction (Substance Use Disorder) Counselor
16605TXMDProfessional Counselor
77742TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Heights Counseling Inc. Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

900 NE Loop 410
Ste D200
San Antonio, TX 78209
Phone (210) 822-2600

Organizations & group practices 1

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1811521099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 FLORIDA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782101515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE LOOP 410 STE D200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091407",
            "telephone_number": "210-822-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "HEATHER",
        "middle_name": "KENNEDY",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "42129",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KENNEDY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.