Active NPI
Keith Heifner, LPC
- Mental Health Counselor
- Oak Ridge, TN
National Provider Identifier
1992049530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2656
- Practice address
- 103 Donner Dr
Oak Ridge, TN 37830-7745 - Phone
- (865) 481-3972
- Fax
- (865) 481-0319
- NPI assigned
- Nov 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2656 | TN | Primary |
Addresses
Primary practice location
103 Donner Dr
Oak Ridge, TN 37830-7745
Mailing address
103 Donner Dr
Oak Ridge, TN 37830-7745
Phone (865) 481-3972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2656 | TN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1992049530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 DONNER DR",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307745",
"telephone_number": "865-481-3972",
"fax_number": "865-481-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 DONNER DR",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307745",
"telephone_number": "865-481-3972",
"fax_number": "865-481-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIFNER",
"first_name": "KEITH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "2656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.