Active NPI
Heather Dejong, LPC ASSOCIATE
- Professional Counselor
- Plano, TX
National Provider Identifier
1881303618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 5601 Democracy Dr
Plano, TX 75024-3687 - Phone
- (940) 765-9029
- NPI assigned
- Nov 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
5601 Democracy Dr
Plano, TX 75024-3687
Mailing address
640 Sunbury LN
Prosper, TX 75078-0679
Phone (217) 619-5723
Other practice location 1
102 E 3rd St
Prosper, TX 75078-2949
Phone (972) 292-0007
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | Direct | Prosper Counseling & Consulting Services, PLLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1881303618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 SUNBURY LN",
"city": "PROSPER",
"state": "TX",
"postal_code": "750780679",
"telephone_number": "217-619-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DEMOCRACY DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750243687",
"telephone_number": "940-765-9029"
}
],
"practiceLocations": [
{
"address_1": "102 E 3rd St",
"address_purpose": "LOCATION",
"city": "Prosper",
"state": "TX",
"postal_code": "750782949",
"country_code": "US",
"telephone_number": "972-292-0007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEJONG",
"first_name": "HEATHER",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "Prosper Counseling & Consulting Services, PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "102 E 3rd St",
"city": "Prosper",
"state": "TX",
"country_code": "US",
"postal_code": "750782949",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.