Kim Cassandra Heflin, CDCA LLL

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

141607 Issued in OH

Practice address

600 Wayne Ave
Dayton, OH 45410-1122

Phone

(937) 496-2000

NPI assigned

Oct 1, 2018

Last updated

Apr 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kim Cassandra Heflin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care4Us Behavioral Health Center, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1780069823
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1841775384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL STE 1170",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WAYNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454101122",
            "telephone_number": "937-496-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elizabeth Pl Ste 1170",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454173445",
            "country_code": "US",
            "telephone_number": "937-938-5434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFLIN",
        "first_name": "KIM",
        "middle_name": "CASSANDRA",
        "credential": "CDCA LLL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "141607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139823",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "HEFLIN",
            "middle_name": "CASSANDRA",
            "credential": "CDCA LLL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gabrielle Marie Hefelfinger
• Kyle Heffner, PT
• Tyler Heffron
• Cheryl Elaine Heflin, SLP
• Jacinta Dorea Heflin
• Sheila Heflin
• Tracy Heflin, CDCA
• Dylan Hefner, MD
• Jack Heginbotham
• Jennifer Liang Heidrich, DO

• Addiction (Substance Use Disorder) Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.