Active NPI
Heather Hines, PHD, LCSW
- Social Worker
- Santa Fe, NM
National Provider Identifier
1831549955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467037267 | Medicaid | NM | |
| 35588519 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| C-10439 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earth Spirit Awakenings LLC | Current | Accepting new patients | |
| Middle Way Counseling | Clinical | Current | Accepting new patients |
| Middle Way Counseling | Current | 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.
-
- Clinical Social Worker
- Santa Fe, NM
- NPI 1467037267
-
- Community/Behavioral Health Agency
- Santa Fe, NM
- NPI 1447490800
-
- Professional Counselor
- Santa Fe, NM
- NPI 1477300432
-
- Community/Behavioral Health Agency
- Espanola, NM
- NPI 1053460287
-
- Early Intervention Provider Agency
- Espanola, NM
- NPI 1295232734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.