Individual provider Active NPI

Heather Lynn Friedman, LPC

  • Professional Counselor
  • Peoria, AZ
National Provider Identifier
1922338417
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15144 Issued in AZ
Practice address
13460 N 94TH Dr
K-3
Peoria, AZ 85381-4835
Phone
(623) 974-3333
Fax
(623) 974-3390
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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 15144 AZ Primary

Addresses

Primary practice location

13460 N 94TH Dr
K-3
Peoria, AZ 85381-4835

Mailing address

30010 N 128TH Ave
Peoria, AZ 85383-3403
Phone (623) 687-8310

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15144AZMDProfessional Counselor
2014NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Psychotherapy and Counseling Services PLLC CurrentSince Sep 20, 2020 Accepting new patients
Sonoran Life Solutions, Inc. Professional PastSince Oct 29, 2012 Accepting new patients
Dressner Counseling Services Inc Past Accepting new patients

Locations

82 Palomino Ln
Ste 703
Bedford, NH 03110
Phone (603) 315-7936

Organizations & group practices 3

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": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1922338417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30010 N 128TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833403",
            "telephone_number": "623-687-8310",
            "fax_number": "602-234-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR",
            "address_2": "K-3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814835",
            "telephone_number": "623-974-3333",
            "fax_number": "623-974-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "15144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.