Krista Heller, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P008859 Issued in NC

Practice address

8522 Six Forks Rd Ste 102
Raleigh, NC 27615-3098

Phone

(419) 349-3412

Fax

(919) 900-7576

NPI assigned

Jul 15, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Sex

Female

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)

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

• Breathe Therapy Services

  • Clinical Social Worker
  • Wake Forest, NC
  • NPI 1710578638
  NPD Authorized official
• Fernandez Community Center, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1033465075
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1992112627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 ENGLEHARDT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177694",
            "telephone_number": "419-349-3412",
            "fax_number": "919-900-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 SIX FORKS RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153098",
            "telephone_number": "419-349-3412",
            "fax_number": "919-900-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "KRISTA",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Marie Heis, DO
• Faith Heisler
• Francis George Heitmann, LCSW, LCAS, CCS
• Leila Helbert, HIS
• Helen H Zhang D.M.D.,P.a (Uptown Dentistry)
• Kiara Helm
• Wendy Helmick, MSW, LCSWA
• Caroline Merwarth Helmink, MHS, PA-C
• Helms Adult Care Home 2
• Helms Adult Care Homes

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.