Individual provider Active NPI

Mary Ann Heekin, ISW

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1871763110
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I.0008204 Issued in OH
Practice address
2421 Auburn Ave
Cincinnati, OH 45219-2701
Phone
(513) 731-3346
Fax
(513) 458-3582
NPI assigned
Mar 3, 2008
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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 I.0008204 OH Primary

Addresses

Primary practice location

2421 Auburn Ave
Cincinnati, OH 45219-2701

Mailing address

2421 Auburn Ave
Cincinnati, OH 45219-2701
Phone (513) 731-3346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000366 OH Practitioner - Clinical Social Worker 8628230133 Reassigns benefits to 1 organization
Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Family Care, Inc.Group PAC ID 8628029295, 7 clinicians

Practice addresses (Care Compare)

4790 Red Bank Expressway
Suite 128
Cincinnati, OH 45227
Phone 5137313346104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Family Care, Inc. CurrentSince Jun 12, 2018 Accepting new patients

Locations

2421 Auburn Ave
Cincinnati, OH 45219
Phone 5137313346 ext. 116

4790 Red Bank Rd
Ste 128
Cincinnati, OH 45227
Phone (513) 252-0533

7675 Wellness Way
West Chester, OH 45069
Phone (513) 475-7400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1871763110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192701",
            "telephone_number": "513-731-3346",
            "fax_number": "513-458-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192701",
            "telephone_number": "513-731-3346",
            "fax_number": "513-458-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEKIN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "ISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.0008204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.