Anne Marie Jaeger-Heiden, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1974646 Issued in MI

Practice address

225 Broadway St
Suite 7 - T
South Haven, MI 49090-2408

Phone

(269) 637-6929

Fax

(269) 637-7220

NPI assigned

Jul 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Aj Jaeger-Heiden Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871791400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 SUNSET CT",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851756",
            "telephone_number": "269-982-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY ST",
            "address_2": "SUITE 7 - T",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490902408",
            "telephone_number": "269-637-6929",
            "fax_number": "269-637-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER-HEIDEN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "1974646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJ",
            "last_name": "JAEGER-HEIDEN",
            "prefix": "MS.",
            "credential": "M.A., LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in South Haven, MI
• Providers in South Haven, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.