Heather Beery LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEATHER BEERY LLC

Practice address

3100 E John Hinkle PL Ste 102
Bloomington, IN 47408-2611

Phone

(812) 345-0125

NPI assigned

Oct 30, 2023

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Beery, LCSWNPI 1063081479

Title

Owner

Phone

(812) 345-0125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Beery, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1063081479
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1093587354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 N MOUNT GILEAD RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089207",
            "telephone_number": "812-345-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E JOHN HINKLE PL STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474082611",
            "telephone_number": "812-345-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 N Mount Gilead Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089207",
            "country_code": "US",
            "telephone_number": "812-345-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEATHER BEERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "BEERY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-345-0125",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthspot
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• Kaylah Healy
• Lauren Marie Healy, PA-C
• Hearing Center, Inc.
• Diane J Heckley, D.D.S.
• Andrew R Heckman, PH.D.
• Austin James Heffner, MPT
• Jill Heichelbech, BA
• Alison C Heidt, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.