Individual provider Active NPI

Heather Leann Wegner, MA, LPCC

  • Professional Counselor
  • Lakeville, MN
National Provider Identifier
1003281536
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
01780 Issued in MN
Practice address
10567 165TH St W
Lakeville, MN 55044-3523
Phone
(527) 679-3749
Fax
(855) 538-0663
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 01780 MN Primary

Addresses

Primary practice location

10567 165TH St W
Lakeville, MN 55044-3523

Mailing address

10567 165TH St W
Lakeville, MN 55044-3523
Phone (529) 767-9374

Other names 1

  • Heather Leann Hewitt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611003172 MN Practitioner - Mental Health Counselor 5294245833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01780MNMDProfessional Counselor
1804MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mears Psychological LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

10567 165th St W
Lakeville, MN 55044
Phone (952) 767-9374

150 Saint Andrews Dr
Ste 120
Mankato, MN 56001
Phone 9527679374 ext. 79374

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1003281536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443523",
            "telephone_number": "529-767-9374",
            "fax_number": "555-380-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10567 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443523",
            "telephone_number": "527-679-3749",
            "fax_number": "855-538-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "HEATHER",
        "middle_name": "LEANN",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2025-03-12",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HEWITT",
            "middle_name": "LEANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.