Nicholas John William Heino, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60822088 Issued in WA

Practice address

4841 Auto Center Way Ste 101
Bremerton, WA 98312-4388

Phone

(360) 373-1529

NPI assigned

Aug 10, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Agape Unlimited

  • Addiction (Substance Use Disorder) Counselor
  • Bremerton, WA
  • NPI 1538282272
  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1992433643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 AUTO CENTER WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124388",
            "telephone_number": "360-373-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 AUTO CENTER WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124388",
            "telephone_number": "360-373-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINO",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN WILLIAM",
        "credential": "SUDPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60822088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91-1385373",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "reliatrax.net",
            "affiliation": "Y",
            "endpointDescription": "reliatrax.net",
            "affiliationName": "Agape Unlimited",
            "address_1": "4841 Auto Center Way Ste 101",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983124388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thaddeus Heberling
• Carolina Hector, MSN-ED, RN, PMH-BC
• Kathy M. Heggenstaller, S.W.
• Larry K Heggerness, DDS
• Keith Edward Heino, RPH
• Charliss Mimi Held, O.D.
• Jillian Helton
• Anthony Henderson
• Ava Henderson
• Rebecca Henderson

• Addiction (Substance Use Disorder) Counselor in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.