Individual provider Active NPI

Adam August Heckmann, LPC-MHSP

  • Mental Health Counselor
  • Cookeville, TN
National Provider Identifier
1982824355
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3933 Issued in TN
Practice address
570 E 10TH St
Cookeville, TN 38501-1876
Phone
(931) 372-7117
Fax
(931) 372-7119
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 3933 TN Primary

Addresses

Primary practice location

570 E 10TH St
Cookeville, TN 38501-1876

Mailing address

570 E 10TH St
Cookeville, TN 38501-1876
Phone (931) 372-7117

Other practice location 1

1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2570

Other practice location 2

247 Grace Dr
Sparta, TN 38583-5176
Phone (931) 284-1372

Other practice location 3

448 Neal St
Cookeville, TN 38501-4027
Phone (931) 525-6900

Other identifiers 1

IdentifierTypeStateIssuer
Q054930MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240309000193 TN Practitioner - Mental Health Counselor 0345686689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Possibilities CounselingGroup PAC ID 6800248212, 7 clinicians

Practice addresses (Care Compare)

3380 Walnut Grove Rd
Sparta, TN 38583-5365
Phone (931) 372-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3933TNMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Reimagined LLC CurrentSince Jan 1, 2024 Accepting new patients
Infinite Possibilities Counseling CurrentSince Jan 1, 2024 Accepting new patients

Locations

570 E 10th St
Cookeville, TN 38501
Phone (931) 372-7117

3380 Walnut Grove Rd
Sparta, TN 38583
Phone (931) 345-3968

Organizations & group practices 2

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982824355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011876",
            "telephone_number": "931-372-7117",
            "fax_number": "931-372-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011876",
            "telephone_number": "931-372-7117",
            "fax_number": "931-372-7119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014294",
            "country_code": "US",
            "telephone_number": "931-783-2570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 Grace Dr",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "TN",
            "postal_code": "385835176",
            "country_code": "US",
            "telephone_number": "931-284-1372",
            "fax_number": "931-525-6970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448 Neal St",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014027",
            "country_code": "US",
            "telephone_number": "931-525-6900",
            "fax_number": "931-525-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKMANN",
        "first_name": "ADAM",
        "middle_name": "AUGUST",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q054930",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.