KELLY L HEENAN PHD - NPI 1093938839 - Marriage & Family Therapist in Casper, WY

Q: What is Kelly Heenan's NPI number?

The NPI number for Kelly Heenan is 1093938839. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Kelly L Backhaus.

Q: What is Kelly Heenan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Heenan was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Kelly L Heenan Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY L HEENAN PHD (NPI 1093938839) is an individual marriage & family therapist in Casper, Wyoming, licensed in Wyoming (LMFT -139) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1093938839

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY L HEENANCredential: PHD

Location Address3741 ARROYO DRIVECasper, WY 82604

Mailing Address3741 Arroyo DriveCasper, WY 82604 · (307) 472-2995

Phone(307) 472-2995

Sole ProprietorYes

Enumeration DateApril 10, 2007

Last NPPES UpdateOctober 21, 2011

✔ NPI 1093938839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in WY · LMFT -139✔ Licensed in TX · 201042

Definition

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 62396 (TX), LPC - 1073 (WY)

3741 ARROYO DRIVE, Casper, WY 82604

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Other Names 1

Former Name (1)Kelly L Backhaus

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Heenan's NPI number?

The NPI number for Kelly Heenan is 1093938839. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Kelly L Backhaus.

Where is Kelly Heenan located?

Kelly Heenan practices at 3741 Arroyo Drive, Casper, WY 82604. The listed phone number is (307) 472-2995.

What is Kelly Heenan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kelly Heenan was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.