Taylor Heinemann, SUDCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13650 Issued in CA

Practice address

301 E 13TH St
Merced, CA 95341-6211

Phone

(209) 381-6800

Fax

(209) 383-2203

NPI assigned

Feb 3, 2020

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

Practice roles

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.

• Rose Julia Riordan Tranquility Village

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
  • NPI 1578881595
  NPD (past)
• Tranquility Village Recovery

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
  • NPI 1174860555
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1972134492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 ANTARES CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953417743",
            "telephone_number": "310-448-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416211",
            "telephone_number": "209-381-6800",
            "fax_number": "209-383-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMANN",
        "first_name": "TAYLOR",
        "credential": "SUDCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1376100120",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "13650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jian Yu He, L. AC
• Shuning He
• Healthy House Within a Match Coalition
• Callah Mari Heckman
• Connie Heckman, NP
• Mark Thomas Hellner, MD
• Helping Hands Senior Care Inc
• Helping Hands Senior Care LLC
• Judd Hembree, RADT 1
• Briana Marie Hemme

• Addiction (Substance Use Disorder) Counselor in Merced, CA
• Providers in Merced, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.