Individual provider Active NPI

Heather Ann Damian Penaflor, LPC

  • Mental Health Counselor
  • Temple, TX
National Provider Identifier
1891360566
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
78413 Issued in TX
Practice address
2027 S 61St St Ste 124
Temple, TX 76504-6817
Phone
(254) 231-1520
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78413 TX Primary

Addresses

Primary practice location

2027 S 61St St Ste 124
Temple, TX 76504-6817

Mailing address

CMR 469 Box 2069
Apo, AE 09227-0021
Phone (671) 486-4349

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

LicenseStateTypeSpecialty
78413TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1891360566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "CMR 469 BOX 2069",
            "city": "APO",
            "state": "AE",
            "postal_code": "092270021",
            "telephone_number": "671-486-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 S 61ST ST STE 124",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765046817",
            "telephone_number": "254-231-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAFLOR",
        "first_name": "HEATHER ANN",
        "middle_name": "DAMIAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.