Individual provider Active NPI

Latasha Heinzen

  • Mental Health Counselor
  • Decatur, AL
National Provider Identifier
1861044703
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3132 Issued in AL
Practice address
2042 Beltline Rd Suite 120a
Decatur, AL 35602
Phone
(915) 373-1451
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3132 AL Primary

Addresses

Primary practice location

2042 Beltline Rd Suite 120a
Decatur, AL 35602

Mailing address

400 Well St NE
Decatur, AL 35602-2201
Phone (915) 373-1451

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

Practice roles

OrganizationSpecialtyStatusNew patients
Come As You Are Counseling and Consulting LLC CurrentSince Jul 28, 2019 Accepting new patients

Locations

2042 Beltline Rd SW
Ste A120
Decatur, AL 35601
Phone (256) 206-3361

Organizations & group practices 1

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1861044703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WELL ST NE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356022201",
            "telephone_number": "915-373-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 BELTLINE RD SUITE 120A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35602",
            "telephone_number": "915-373-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZEN",
        "first_name": "LATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.