MS. KATHLEEN MARY HEFFERNAN (NPI# 1356461487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356461487 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN MARY HEFFERNAN |
| Credential | LPC |
| Practice Address |
18001 N 79th Ave B-45 Glendale AZ 85308-8388 |
| Mailing Address |
2753 E Windrose Dr Phoenix AZ 85032-6932 |
| Practice Telephone | 6027704188 |
| Practice Fax Number | 6233346724 |
| Mailing Telephone | 6027704188 |
| Mailing Fax Number | 6233346724 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-1748 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 806309 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870710 | Kathleen None Heffernan | Registered Nurse | 205 Onset Ave Apt 502, Onset, MA 02558-1983 | 2020-08-03 |
| 1891797957 | Kathleen A Heffernan | Obstetrics & Gynecology | 34 Mountain Blvd, Warren, NJ 07059-2640 | 2005-08-10 |
| Street Address |
18001 N 79TH AVE B-45 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025622 | Kathleen Lynne Crowley | Dentist | 18001 N 79th Ave, Ste. B16, Glendale, AZ 85308-8388 | 2005-06-30 |
| 1023564192 | Maria Bolger | Physical Therapist | 18001 N 79th Ave, Suite 3, Glendale, AZ 85308-8388 | 2016-08-29 |
| 1487014833 | Arrowhead Family Systems | Marriage & Family Therapist | 18001 N 79th Ave, Ste B-45, Glendale, AZ 85308-8388 | 2016-02-28 |
| 1215352869 | Bayada Home Health Care, Inc. | Home Health | 18001 N 79th Ave, Suite A-3, Glendale, AZ 85308-8388 | 2014-02-19 |
| 1326302472 | Total Orthopedics,llc | Clinical Medical Laboratory | 18001 N 79th Ave, Suite D-69, Glendale, AZ 85308-8388 | 2012-07-03 |
| 1588954713 | Rbks, LLC | Dentist | 18001 N 79th Ave, Suite A-8, Glendale, AZ 85308-8388 | 2011-04-08 |
| 1487951315 | Susan Bueker | Social Worker | 18001 N 79th Ave, Suite B-45, Glendale, AZ 85308-8388 | 2011-02-10 |
| 1154557478 | Hope Community Services, Inc. | Community/Behavioral Health | 18001 N 79th Ave, Suite C-56, Glendale, AZ 85308 | 2009-06-01 |
| 1386887719 | Desert Rose Dentistry, LLC | Dentist | 18001 N 79th Ave, A-8, Glendale, AZ 85308-8388 | 2009-04-15 |
| 1366681348 | Nancy Lynn Colattur | Counselor | 18001 N 79th Ave, Glendale, AZ 85308-8388 | 2009-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537709 | Kendra Nicole Rosenfeld | Counselor | 10218 N 60th Ln, Glendale, AZ 85302-1256 | 2020-10-26 |
| 1609483825 | Wisemind Sober Living and Treatment, LLC | Counselor | 5755 W Irma Ln, Glendale, AZ 85308-9178 | 2020-09-30 |
| 1740814664 | Maryjoy C Kearns | Counselor | 7400 W Arrowhead Clubhouse Dr Apt 2036, Glendale, AZ 85308-8825 | 2020-02-29 |
| 1366089997 | Lilit Ginosyan Hayrapetyan | Counselor | 401 N Brand Blvd Ste 366, Glendale, CA 91203-4427 | 2019-12-02 |
| 1104473552 | Sabrina Laporta | Counselor | 7037 65th Pl Apt 1r, Glendale, NY 11385-6426 | 2019-08-21 |
| 1760042667 | Arineh Ohanian | Counselor | 1022 Elm Ave, Glendale, CA 91201-3424 | 2019-06-13 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1093275018 | Heather Marie Ford | Counselor | 7303 W Robin Ln, Glendale, AZ 85310-5653 | 2019-03-25 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1992209431 | Jessica Ann Van Leer | Counselor | 17505 N 79th Ave Ste 410, Glendale, AZ 85308-8732 | 2018-03-20 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on MS. KATHLEEN MARY HEFFERNAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.