David R Heckenlively Jr., MFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

38744 Issued in CA

Practice address

33 Quail CT Ste 103
Walnut Creek, CA 94596-5564

Phone

(925) 788-4541

NPI assigned

Dec 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1861962870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NORWICH PL",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981522",
            "telephone_number": "925-788-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 QUAIL CT STE 103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965564",
            "telephone_number": "925-788-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKENLIVELY",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "38744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Refresh Acupuncture and Herbal Medicine
• Health-Pro Physical Therapy Inc
• Healthgenix P.C.
• Charles D. Hearey Jr., MD
• Gabriella Heaton
• Linda Marie Heckenlively, M.S., CCC-SLP
• Stephen J Heckman, PH.D.
• Nick Nader Hedayat, D.C.
• Miles Eben Hedgpeth, LMFT
• Mia L Hedrick

• Counselor in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.