Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. David J Heitman, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659622462

Mr. David J Heitman, LPC is a Mental Health Counselor in Republic, Missouri. Qualified in 2015, 11 years ago. Practices with Burrell Inc, a 215-clinician group and accepts Medicare assignment. Licensed in Missouri and Oregon.

Years since qualifying
11
Licensed in
MO, OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

612 E Elm St
Republic, MO 65738-1552
Phone: (417) 761-5511
Fax: (417) 761-5512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2023000446 (MO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11-R-22 (OR)

Record details

NPI number1659622462
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 20, 2012
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Burrell Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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