Erin Heintzelman Therapy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ERIN HEINTZELMAN THERAPY, LLC

Practice address

8803 139TH Ave SE
Newcastle, WA 98059-3490

Phone

(425) 906-3859

Fax

(425) 249-3325

NPI assigned

Mar 8, 2021

Last updated

Aug 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Heintzelman, LICSWNPI 1124631684

Title

Therapist

Phone

(425) 906-3859

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Heintzelman, LSWAIC

  • Clinical Social Worker
  • Newcastle, WA
  • NPI 1124631684
  NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1841885167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 139TH AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593490",
            "telephone_number": "425-906-3859",
            "fax_number": "425-249-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 139TH AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593490",
            "telephone_number": "425-906-3859",
            "fax_number": "425-249-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN HEINTZELMAN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "HEINTZELMAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "425-906-3859",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Asher Drimmer, MD
• Julie Dunnwald, LICSW, PHD
• Kayla Ellison, M.ED., BCBA
• Brianna Noelle Elrod, PT, DPT
• Erica Yang, DDS, PLLC
• Arthur G Faulmann III
• Kristy Marie Fisher, MA, LMFTA
• Andrea Meredith Fonner, DDS
• Gil Furman, DDS
• Chastity J Garcia, LMP

• Adult Mental Health Clinic/Center in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.