Individual provider Active NPI

Heather Carver, LPC-MHSP

  • Mental Health Counselor
  • Cleveland, TN
National Provider Identifier
1992190896
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3821 Issued in TN
Practice address
2990 Westside Dr NW
Cleveland, TN 37312-3506
Phone
(423) 458-1870
Fax
(423) 458-1871
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A11566 NC
Mental Health Counselor 101YM0800X 3821 TN Primary

Addresses

Primary practice location

2990 Westside Dr NW
Cleveland, TN 37312-3506

Mailing address

2990 Westside Dr NW
Cleveland, TN 37312-3506
Phone (423) 458-1870

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
I20250401003446 TN Practitioner - Mental Health Counselor 1951831882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11566NCMDProfessional Counselor
3821TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Counseling and Wellness, LLC Mental Health CurrentSince Oct 22, 2024 Accepting new patients
Anchor Warrior Center Mental Health PastSince Oct 13, 2019 Accepting new patients

Locations

2990 Westside Dr NW
Cleveland, TN 37312
Phone (423) 458-1870

3505 Adkisson Dr NW
Ste 156
Cleveland, TN 37312
Phone (423) 339-5597

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1992190896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 WESTSIDE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123506",
            "telephone_number": "423-458-1870",
            "fax_number": "423-458-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 WESTSIDE DR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123506",
            "telephone_number": "423-458-1870",
            "fax_number": "423-458-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "HEATHER",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11566",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.