Individual provider Active NPI

Jessica E. Heller, MPS, ATR-BC, LCAT

  • Art Therapist
  • Montclair, NJ
National Provider Identifier
1821454406
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
16LP00015600 Issued in NJ
Practice address
105 Grove St Ste 14
Montclair, NJ 07042-4053
Phone
(929) 266-3718
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 001899-1 NY
Art Therapist 221700000X 16LP00015600 NJ Primary

Addresses

Primary practice location

105 Grove St Ste 14
Montclair, NJ 07042-4053

Mailing address

105 Grove St Ste 14
Montclair, NJ 07042-4053
Phone (929) 266-3718

Other practice location 1

50 Fulton St Fl 2
New York, NY 10038-1800
Phone (212) 284-0043 ext. 124

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
16LP00015600NJMDArt Therapist
001899-1NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1821454406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GROVE ST STE 14",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424053",
            "telephone_number": "929-266-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GROVE ST STE 14",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424053",
            "telephone_number": "929-266-3718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Fulton St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100381800",
            "country_code": "US",
            "telephone_number": "212-284-0043 x124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "JESSICA",
        "middle_name": "E.",
        "credential": "MPS, ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001899-1",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "16LP00015600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.