Individual provider Active NPI

Susan Quinet Heavrin, MS, LMFT

  • Marriage & Family Therapist
  • Humble, TX
National Provider Identifier
1881927499
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202956 Issued in TX
Practice address
17904 W Lake Houston Pkwy Ste 401
Humble, TX 77346-0002
Phone
(281) 801-5828
NPI assigned
Sep 14, 2009
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1084 KS
Marriage & Family Therapist 106H00000X 202956 TX Primary

Addresses

Primary practice location

17904 W Lake Houston Pkwy Ste 401
Humble, TX 77346-0002

Mailing address

17714 Sycamore Shoals LN
Humble, TX 77346-3871
Phone (281) 801-5828

Other practice location 1

5900 E Central Ave
Suite 101
Wichita, KS 67208-4240
Phone (316) 425-7774

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
202956TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1881927499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17714 SYCAMORE SHOALS LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463871",
            "telephone_number": "281-801-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17904 W LAKE HOUSTON PKWY STE 401",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773460002",
            "telephone_number": "281-801-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 E Central Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672084240",
            "country_code": "US",
            "telephone_number": "316-425-7774",
            "fax_number": "316-425-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAVRIN",
        "first_name": "SUSAN",
        "middle_name": "QUINET",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "1084",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.