Active NPI
Jennifer Noel Heinbach, LSCSW
- Clinical Social Worker
- Lenexa, KS
National Provider Identifier
1871783340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3639
- Practice address
- 12408 W 101St St
Lenexa, KS 66215-1912 - Phone
- (913) 492-2272
- Fax
- (913) 492-2272
- NPI assigned
- Jul 31, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3639 | KS | Primary |
| Clinical Social Worker | 1041C0700X | 2003006959 | MO |
Addresses
Primary practice location
12408 W 101St St
Lenexa, KS 66215-1912
Mailing address
12408 W 101St St
Lenexa, KS 66215-1912
Phone (913) 492-2272
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3639 | KS | MD | Professional Counselor |
| 2003006959 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1871783340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12408 W 101ST ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662151912",
"telephone_number": "913-492-2272",
"fax_number": "913-492-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12408 W 101ST ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662151912",
"telephone_number": "913-492-2272",
"fax_number": "913-492-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINBACH",
"first_name": "JENNIFER",
"middle_name": "NOEL",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "3639",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2003006959",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.