Individual provider Active NPI

Heather Laura O'Flaherty, MA, LPC

  • Professional Counselor
  • Glenn Heights, TX
National Provider Identifier
1912551789
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79888 Issued in TX
Practice address
328 Pebblebrook LN
Glenn Heights, TX 75154-1851
Phone
(972) 268-3096
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 79888 TX Primary

Addresses

Primary practice location

328 Pebblebrook LN
Glenn Heights, TX 75154-1851

Mailing address

1011 Leighsford LN Apt 11307
Arlington, TX 76006-4182
Phone (210) 787-0207

Other practice location 1

1835 E Southlake Blvd Ste 100
Southlake, TX 76092-7068
Phone (817) 769-7687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
79888TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elledge Counseling Associates Mental Health PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1912551789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LEIGHSFORD LN APT 11307",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760064182",
            "telephone_number": "210-787-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 PEBBLEBROOK LN",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751541851",
            "telephone_number": "972-268-3096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 E Southlake Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760927068",
            "country_code": "US",
            "telephone_number": "817-769-7687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'FLAHERTY",
        "first_name": "HEATHER",
        "middle_name": "LAURA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Heights, TX

Sources for this page

Verify at the official NPI Registry.