Individual provider Active NPI

Heather Stiltner, MA, LPC, NCC, CTP-C

  • Mental Health Counselor
  • Jackson, MI
National Provider Identifier
1932594496
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015011 Issued in MI
Practice address
950 W Monroe St Ste 600
Jackson, MI 49202-2173
Phone
(517) 630-1570
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Mental Health Counselor 101YM0800X 6401015011 MI Primary

Addresses

Primary practice location

950 W Monroe St Ste 600
Jackson, MI 49202-2173

Mailing address

950 W Monroe St Ste 600
Jackson, MI 49202-2173
Phone (517) 630-1570

Other practice location 1

5123 Old Plank Rd
Onondaga, MI 49264-9707
Phone (517) 628-2287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204002527 MI Practitioner - Other (Non-Physician) 2466865654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jackson Healing Clinic LLCGroup PAC ID 0840603031, 9 clinicians

Practice addresses (Care Compare)

2020 Cascade Dr
Jackson, MI 49203-3810
Phone (734) 426-4038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Healing CurrentSince Jan 19, 2025 Accepting new patients
Jackson Healing Clinic LLC Mental Health CurrentSince Oct 13, 2020 Accepting new patients
Highfields Past Accepting new patients

Locations

126 Seymour Ave
Jackson, MI 49202
Phone (734) 219-3314

720 W Franklin St
Jackson, MI 49201
Phone (517) 581-4710

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1932594496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W MONROE ST STE 600",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022173",
            "telephone_number": "517-630-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W MONROE ST STE 600",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022173",
            "telephone_number": "517-630-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5123 Old Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Onondaga",
            "state": "MI",
            "postal_code": "492649707",
            "country_code": "US",
            "telephone_number": "517-628-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILTNER",
        "first_name": "HEATHER",
        "credential": "MA, LPC, NCC, CTP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.