DR. CAROLYN JAYNE HEINEMAN PHD
NPI 1316095425
Psychologist - Counseling in Kalamazoo, MI

Active since January 08, 2007Opted out of Medicare · through Oct 1, 2027
2001 HUDSON AVE, KALAMAZOO, MI 49008(269) 345-7101(269) 341-9735 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carolyn Jayne Heineman Phd NPPES

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

DR. CAROLYN JAYNE HEINEMAN PHD (NPI 1316095425) is an individual counseling provider in Kalamazoo, Michigan, licensed in Michigan (6301013201) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316095425
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. CAROLYN JAYNE HEINEMANCredential: PHD
Location Address2001 HUDSON AVEKalamazoo, MI 49008-1889
Mailing Address2001 Hudson AveKalamazoo, MI 49008-1889 · (269) 345-7101 · Fax (269) 341-9735
Fax(269) 341-9735
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1316095425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Licenses Licensed in MI · 6301013201 Licensed in IN · 20042009A
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
2001 HUDSON AVE, Kalamazoo, MI 49008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Carolyn Jayne Heineman Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2001 HUDSON AVE
KALAMAZOO, MI 49008
Social Worker
2001 HUDSON AVE
KALAMAZOO, MI 49008
Psychologist (Clinical)
2001 HUDSON AVE
KALAMAZOO, MI 49008
Social Worker
2001 HUDSON AVE
KALAMAZOO, MI 49008
Social Worker (Clinical)
2001 HUDSON AVE
KALAMAZOO, MI 49008
Psychologist (Clinical)
2001 HUDSON AVE
KALAMAZOO, MI 49008
Social Worker (Clinical)
2001 HUDSON AVE
KALAMAZOO, MI 49008
Social Worker
2001 HUDSON AVE
KALAMAZOO, MI 49008

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 Carolyn Heineman's NPI number?

The NPI number for Carolyn Heineman is 1316095425. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Carolyn Heineman located?

Carolyn Heineman practices at 2001 Hudson Ave, Kalamazoo, MI 49008. The listed phone number is (269) 345-7101.

What is Carolyn Heineman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Carolyn Heineman enrolled in Medicare?

No. Carolyn Heineman has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carolyn Heineman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.