Kristi Leigh Heritage, MA,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2017044081 Issued in MO

Practice address

1450 E 10TH St
Rolla, MO 65401-3648

Phone

(888) 403-1071

NPI assigned

Dec 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristi Leigh Lawson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Woodridge of Missouri, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Waynesville, MO
  • NPI 1174662720
  NPD (past)

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

{
    "created_epoch": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1992211163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013648",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832634",
            "country_code": "US",
            "telephone_number": "573-774-5353 x163",
            "fax_number": "573-774-2607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERITAGE",
        "first_name": "KRISTI",
        "middle_name": "LEIGH",
        "credential": "MA,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-23",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017044081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "LAWSON",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremy Helton, PHARMD
• Angela Henderson
• Brandy Hendricks, RN
• Henry J Antolak DMD PC
• Heritage Park Skilled Care
• Katie Elizabeth Hern, M.D.
• Holly Herndon, RN
• Gretchen M Hessler, MA
• Lois Katherine Gornet Hilgers, MHS RDN LD LNHA
• Michelle M Hill, DO

• Professional Counselor in Rolla, MO
• Providers in Rolla, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.