KELLY DENEEN HEINZMAN (NPI# 1467003715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467003715 |
| Entity Type | Individual |
| Full Name | KELLY DENEEN HEINZMAN |
| Credential | MED LPC LMFT |
| Practice Address |
1101 Wilson Blvd Arlington VA 22209-2211 |
| Mailing Address |
3535 36th Rd N Arlington VA 22207-4817 |
| Practice Telephone | 7036254182 |
| Mailing Telephone | 7036254182 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
0701001713 | VA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 0717000464 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1101 WILSON BLVD |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22209-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104185776 | Jelena Kecmanovic | Psychologist | 1655 North Fort Myer Drive, Suite 350, Arlington, VA 22209 | 2012-05-16 |
| 1386815371 | Metropolitan Psychiatric Services | Psychiatry & Neurology | 1101 Arlington Boulevard, Suite 130, Arlington, VA 22209 | 2008-03-18 |
| 1467652966 | Anne L. Minor | Social Worker | 1655 Fort Myer Drive, 700, Arlington, VA 22209 | 2007-07-23 |
| 1811040561 | Jason F Favagehi Dds PC | Dentist | 1000 Wilson Blvd, Suite M745, Arlington, VA 22209 | 2007-01-18 |
| 1750479697 | Mira Dental Care Pllc | Dentist | 1800 N Kent St, Suite 100, Arlington, VA 22209 | 2006-10-10 |
| 1982716015 | Louis J Lavecchia | Dentist | 1515 Wilson Blvd., Suite 103, Arlington, VA 22209 | 2006-08-31 |
| 1265476022 | Sheila Jahan | Neuromusculoskeletal Medicine & OMM | 1881 N Nash St Unit 309, Arlington, VA 22209 | 2006-06-15 |
| 1770553828 | Paul Dimitre Garst | Internal Medicine | Medical Director, Tricare Regional Office North, 1700 N. Moore St., Suite 1200, Arlington, VA 22209 | 2006-01-23 |
| 1619274214 | Samuel Leland Lashley | Psychologist | 1655 Fort Myer Drive, Suite 350, Arlington, VA 22209 | 2011-02-16 |
| 1568574648 | Gregory L Lavecchia | Dentist | 1515 Wilson Blvd., Suite 103, Arlington, VA 22209 | 2006-08-31 |
| Find all providers in zip 22209 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230500 | Jeanne Marie Jankus | Marriage & Family Therapist | 16710 Smokey Point Blvd Ste 306, Arlington, WA 98223-8435 | 2020-09-21 |
| 1699308494 | Robin Theresa Evans | Marriage & Family Therapist | 1201 N Watson Rd Ste 156, Arlington, TX 76006-6223 | 2020-02-20 |
| 1831721083 | Filza Khan | Marriage & Family Therapist | 7100 S Cooper St Ste 15, Arlington, TX 76001-6718 | 2020-02-05 |
| 1679016703 | Allyson Mcclendon | Marriage & Family Therapist | 1215 W Randol Mill Rd, Arlington, TX 76012-3113 | 2016-11-21 |
| 1134558430 | Troy Leigh Callaway | Marriage & Family Therapist | 3901 W Green Oaks Blvd Ste B, Arlington, TX 76016-2789 | 2013-11-06 |
| 1093025157 | Samantha Erin Rushton | Marriage & Family Therapist | 16710 Smokey Point Blvd Ste 310, Arlington, WA 98223-8435 | 2010-10-07 |
| 1497089015 | Linda Carol Conrad Sr. | Marriage & Family Therapist | 8308 Hunters Meadow Ln, Arlington, TN 38002-8461 | 2009-09-29 |
| 1972738722 | Nancy Fromm | Marriage & Family Therapist | 2727 S Quincy St, Suite 1113, Arlington, VA 22206-2354 | 2009-05-22 |
| 1518120054 | Eddie L Rayford | Marriage & Family Therapist | 6127 Copperfield Dr, Arlington, TX 76001-8111 | 2008-07-03 |
| 1174641484 | Barbara Ann Beykovsky | Marriage & Family Therapist | 4113 172nd St Ne, Arlington, WA 98223-7737 | 2007-03-26 |
| Find all providers in ARLINGTON | ||||
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| 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.