HEIDI L SOUTHERN M.A. LPC NPI 1629369384

NPI Information

  • NPI: 1629369384
  • Provider Name: HEIDI L SOUTHERN, M.A., LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 125 E JAMES DR
    SIERRA VISTA, AZ
    ZIP 85635
  • Phone: (469) 955-6579

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NPI Details

Heidi L Southern, M.A., LPC is a professional counselor in Sierra Vista, AZ. Heidi L Southern, M.A., LPC NPI is 1629369384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 E JAMES DR
SIERRA VISTA, AZ
ZIP 85635-156
Phone: (469) 955-6579

The enumeration date for this NPI number is 4/28/2011 and was last updated on 3/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor65482TEXASNo
2101YM0800XCounselorMental Health65482TEXASNo
3101YP2500XCounselorProfessional65482TEXASNo
4103T00000XPsychologist65482TEXASNo
5103TC1900XPsychologistCounseling65482TEXASNo
6171M00000XCase Manager/Care Coordinator65482TEXASNo
7101YP2500XCounselorProfessional19369ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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