Active NPI
Heidi Michele Lewin-Miller, LMFT, RD
- Mental Health Counselor
- San Luis Obispo, CA
National Provider Identifier
1871769729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC35120
- Practice address
- 1110 California Blvd
Suite E
San Luis Obispo, CA 93401-2949 - Phone
- (805) 549-9778
- Fax
- (805) 549-9778
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | RD 675059 | CA | |
| Mental Health Counselor | 101YM0800X | MFC35120 | CA | Primary |
Addresses
Primary practice location
1110 California Blvd
Suite E
San Luis Obispo, CA 93401-2949
Mailing address
1110 California Blvd
Suite E
San Luis Obispo, CA 93401-2949
Phone (805) 549-9778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11964683 | Other | CA | BLUE CROSS OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 1, 2024 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC35120 | CA | MD | Mental Health Counselor |
| RD 675059 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1871769729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 CALIFORNIA BLVD",
"address_2": "SUITE E",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012949",
"telephone_number": "805-549-9778",
"fax_number": "805-549-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 CALIFORNIA BLVD",
"address_2": "SUITE E",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012949",
"telephone_number": "805-549-9778",
"fax_number": "805-549-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIN-MILLER",
"first_name": "HEIDI",
"middle_name": "MICHELE",
"credential": "LMFT, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "RD 675059",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC35120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIFORNIA",
"identifier": "11964683",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.