Individual provider Active NPI

Heather R Romatowski, BSW, SAC

  • Addiction (Substance Use Disorder) Counselor
  • Phillips, WI
National Provider Identifier
1073005757
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16114-131 Issued in WI
Practice address
171 Chestnut St
Phillips, WI 54555-1313
Phone
(715) 339-3048
Fax
(715) 339-2436
NPI assigned
May 30, 2018
Last updated
May 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16114-131 WI Primary

Addresses

Primary practice location

171 Chestnut St
Phillips, WI 54555-1313

Mailing address

PO Box 71
Phillips, WI 54555-0071
Phone (715) 339-3048

Other names 1

  • Ms. Heather R Block Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16114-131WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Development Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1073005757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545550071",
            "telephone_number": "715-339-3048",
            "fax_number": "715-339-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CHESTNUT ST",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545551313",
            "telephone_number": "715-339-3048",
            "fax_number": "715-339-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMATOWSKI",
        "first_name": "HEATHER",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "BSW, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16114-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BLOCK",
            "middle_name": "R",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phillips, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.