Active NPI
Mark David Heaney, L.P.C.
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1902088032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3102
- Practice address
- 1111 N Lee Ave
Suite 101
Oklahoma City, OK 73103-2600 - Phone
- (405) 820-6992
- Fax
- (405) 606-7449
- NPI assigned
- Nov 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 65976 | TX | |
| Professional Counselor | 101YP2500X | 3102 | OK | Primary |
| Pastoral Counselor | 101YP1600X | 3102 | OK |
Addresses
Primary practice location
1111 N Lee Ave
Suite 101
Oklahoma City, OK 73103-2600
Mailing address
1111 N Lee Ave
Suite 101
Oklahoma City, OK 73103-2600
Phone (405) 820-6992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
508 W Vandament Ave
Suite 205
Yukon, OK 73099-4666
Phone (405) 820-6992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65976 | TX | MD | Pastoral Counselor |
| 3102 | OK | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Peace Pastoral Counseling PLLC | Professional | Current | Accepting new patients |
| Inner Peace Pastoral Counseling, PLLC | Pastoral | Current | Accepting new patients |
Locations
1111 N Lee Ave
Ste 101
Oklahoma City, OK 73103
Phone (405) 820-6992
508 W Vandament Ave
Ste 205
Yukon, OK 73099
Phone (405) 350-6644
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- El Reno, OK
- NPI 1801929781
-
- Pastoral Counselor
- Oklahoma City, OK
- NPI 1801160841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1902088032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N LEE AVE",
"address_2": "SUITE 101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "405-820-6992",
"fax_number": "405-606-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N LEE AVE",
"address_2": "SUITE 101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "405-820-6992",
"fax_number": "405-606-7449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEANEY",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": "65976",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3102",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "OK",
"license": "3102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Patricia Ann Healy, MOTRL
- Amanda Heaney
- Rebecca Elise Heaney
- Shon Heanu-Rente
- Hear Again Hearing Aid Lab LLC
- Hear and There
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.