Individual provider Active NPI

Heather NH Simonson

  • Professional Counselor
  • Richland Center, WI
National Provider Identifier
1154419976
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3533-125 Issued in WI
Practice address
23295 US Hwy 14
Richland Center, WI 53581-8911
Phone
(608) 647-4705
Fax
(608) 647-8979
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 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 3533-125 WI Primary

Addresses

Primary practice location

23295 US Hwy 14
Richland Center, WI 53581-8911

Mailing address

23295 US Hwy 14
Richland Center, WI 53581-8911
Phone (608) 647-4705

Other identifiers 1

IdentifierTypeStateIssuer
40991800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • 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
I20231222002646 WI Practitioner - Mental Health Counselor 9436104221 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Community Service Associates, SC CurrentSince Jan 1, 2024 Accepting new patients
Memorial Hospital of Boscobel CurrentSince May 28, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince May 28, 2025 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince May 28, 2025 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince May 28, 2025 Accepting new patients

Locations

1002 Lincoln Ave
Baraboo, WI 53913
Phone (608) 356-9055

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518

23295 US Hwy 14
Richland Ctr, WI 53581
Phone (608) 383-1500

Organizations & group practices 6

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1154419976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23295 US HWY 14",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535818911",
            "telephone_number": "608-647-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23295 US HWY 14",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535818911",
            "telephone_number": "608-647-4705",
            "fax_number": "608-647-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "HEATHER",
        "middle_name": "NH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3533-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40991800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

Verify at the official NPI Registry.