Luella Moon Heetderks, LPC, LCAS, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8101 Issued in NC

Practice address

69 Park Ave N
Asheville, NC 28801-3145

Phone

(828) 365-6559

Fax

(828) 544-1201

NPI assigned

Aug 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1942515598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PARK AVE N",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013145",
            "telephone_number": "828-242-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 PARK AVE N",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013145",
            "telephone_number": "828-365-6559",
            "fax_number": "828-544-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 S French Broad Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "28801",
            "country_code": "US",
            "telephone_number": "828-254-0749",
            "fax_number": "828-254-0762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEETDERKS",
        "first_name": "LUELLA",
        "middle_name": "MOON",
        "name_prefix": "Ms.",
        "credential": "LPC, LCAS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2585",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hector
• Amanda Michelle Hedden, MSW
• Brittany Hedges, DPT
• Mark Raymond Hedrick, M.D.
• April Heesacker
• Jordan Kluesner Heffner, LCMHCA
• Monet Hefner, MSW, LCSW
• Richard James Hefner, PA-C
• Hailey Heil, LCMHCA
• Michael Heilig, PT

• Professional Counselor in Asheville, NC
• Providers in Asheville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.