Individual provider Active NPI

Heather Hines, PHD, LCSW

  • Social Worker
  • Santa Fe, NM
National Provider Identifier
1831549955
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7558 Kachina Loop
Santa Fe, NM 87507-4042
Phone
(518) 428-6881
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X C-10439 NM
Social Worker 104100000X Primary

Addresses

Primary practice location

7558 Kachina Loop
Santa Fe, NM 87507-4042

Mailing address

7558 Kachina Loop
Santa Fe, NM 87507-4042
Phone (518) 428-6881

Other identifiers 2

IdentifierTypeStateIssuer
1467037267MedicaidNM
35588519MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hdhines@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20190709002638 NM Practitioner - Clinical Social Worker 9931434263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3600 Cerrillos Rd
Suite 719F
Santa Fe, NM 87507-2699
Phone (518) 428-6881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C-10439NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Earth Spirit Awakenings LLC CurrentSince Jun 1, 2019 Accepting new patients
Middle Way Counseling Clinical CurrentSince May 25, 2024 Accepting new patients
Middle Way Counseling CurrentSince May 25, 2024 Accepting new patients
Las Cumbres Community Services Past Accepting new patients
Las Cumbres Community Services Past Accepting new patients

Locations

4001 Office Court Dr
Ste 102
Santa Fe, NM 87507
Phone (505) 395-9437

Organizations & group practices 5

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1831549955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7558 KACHINA LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074042",
            "telephone_number": "518-428-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7558 KACHINA LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074042",
            "telephone_number": "518-428-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "HEATHER",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10439",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467037267",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35588519",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hdhines@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7558 Kachina Loop",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875074042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.