Individual provider Active NPI

Heather Lipp

  • Mental Health Counselor
  • Clermont, FL
National Provider Identifier
1952720682
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007696 Issued in GA
Practice address
210 N Highway 27 Ste 4
Clermont, FL 34711-2411
Phone
(352) 708-6283
NPI assigned
Apr 9, 2014
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007696 GA Primary

Addresses

Primary practice location

210 N Highway 27 Ste 4
Clermont, FL 34711-2411

Mailing address

2 Panstone CT
Columbus, GA 31909-4820
Phone (706) 653-6841

Other practice location 1

2325 Brookstone Centre Pkwy
Columbus, GA 31904-4500
Phone (706) 653-6841

Other practice location 2

1965 S Orange Blossom Trl
Apopka, FL 32703-7757
Phone (352) 708-6283

Other practice location 3

858 S Duncan Dr
Tavares, FL 32778-4044
Phone (352) 708-6283

Other practice location 4

9100 Conroy Windermere Rd
Windermere, FL 34786-8431
Phone (352) 708-6283

Other practice location 5

100 S Kentucky Ave
Lakeland, FL 33801-5096
Phone (352) 708-6283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240207003526 FL Practitioner - Mental Health Counselor 9234572124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Life Counseling CenterGroup PAC ID 0648623835, 13 clinicians

Practice addresses (Care Compare)

210 N Hwy 27
Suite 4
Clermont, FL 34711-2411
Phone (352) 708-6283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007696GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Counseling Center Mental Health CurrentSince Jan 19, 2024 Accepting new patients
Columbus Psychological Associates, LLP PastSince Sep 17, 2012 Accepting new patients
Columbus Psychological Assoc. Past Accepting new patients

Locations

1965 S Orange Blossom Trl
Apopka, FL 32703
Phone (352) 462-0539

1230 Oakley Seaver Dr
Ste 307
Clermont, FL 34711

210 N US Highway 27
Ste 4
Clermont, FL 34711
Phone (352) 243-4800

100 S Kentucky Ave
Lakeland, FL 33801
Phone (352) 708-6283

858 S Duncan Dr
Tavares, FL 32778
Phone (352) 609-5103

9100 Conroy Windermere Rd
Windermere, FL 34786
Phone (352) 708-6283

9100 Conroy Windermere Rd
Ste 206
Windermere, FL 34786
Phone (352) 708-6283

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1952720682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PANSTONE CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094820",
            "telephone_number": "706-653-6841",
            "fax_number": "706-653-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGHWAY 27 STE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112411",
            "telephone_number": "352-708-6283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Brookstone Centre Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319044500",
            "country_code": "US",
            "telephone_number": "706-653-6841",
            "fax_number": "706-653-7843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1965 S Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327037757",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "858 S Duncan Dr",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784044",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Conroy Windermere Rd",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347868431",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338015096",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPP",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "007696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.