Individual provider Active NPI

Heather Neaman, LPC

  • Professional Counselor
  • Chubbuck, ID
National Provider Identifier
1033822697
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-6863 Issued in ID
Practice address
265 E Chubbuck Road
Chubbuck, ID 83202-5055
Phone
(208) 237-1711
Fax
(208) 237-9806
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center Counseling LLC 15 clinicians

Practice addresses (Care Compare)

265 E Chubbuck Rd
Chubbuck, ID 83202-5055
Phone (208) 237-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20241218003153 ID Practitioner - Mental Health Counselor 1052848827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-6863IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center Counseling, LLC CurrentSince Nov 25, 2024 Accepting new patients
A Body & Mind Health Services, LLC PastSince Jan 1, 2023 Accepting new patients
A Body & Mind Health Services, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

265 E Chubbuck Rd
Chubbuck, ID 83202
Phone (208) 237-1711

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-6863 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

265 E Chubbuck Road
Chubbuck, ID 83202-5055

Mailing address

PO Box 2264
Pocatello, ID 83206-2264
Phone (208) 339-8310

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2024.

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1033822697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2264",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832062264",
            "telephone_number": "208-339-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E CHUBBUCK ROAD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025055",
            "telephone_number": "208-237-1711",
            "fax_number": "208-237-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAMAN",
        "first_name": "HEATHER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-12-11",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-6863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.