John Lewis Heagle, M.A., JCL

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LH00006716 Issued in WA

Practice address

4800 37TH Ave SW
Suite 210
Seattle, WA 98126-2724

Phone

(206) 923-4057

Fax

(206) 923-4001

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1982882650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "GLENEDEN BEACH",
            "state": "OR",
            "postal_code": "973880069",
            "telephone_number": "541-764-2980",
            "fax_number": "541-764-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 37TH AVE SW",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262724",
            "telephone_number": "206-923-4057",
            "fax_number": "206-923-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAGLE",
        "first_name": "JOHN",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "M.A., JCL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH00006716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.