NPIMap

Organization Active NPI

Heritage Professional Associates

  • Pastoral Counselor
  • River Forest, IL
National Provider Identifier
1174991616
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
178.010925 Issued in IL
Legal business name
HERITAGE PROFESSIONAL ASSOCIATES
Practice address
1 Gale Ave
2E
River Forest, IL 60305-2065
Phone
(708) 296-9023
NPI assigned
Sep 14, 2015
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Dr. Thomas L Schemper, PHD
Title
Director
Phone
(312) 787-8425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 178.010925 IL Primary

Addresses

Primary practice location

1 Gale Ave
2E
River Forest, IL 60305-2065

Mailing address

1 Gale Ave
2E
River Forest, IL 60305-2065
Phone (708) 296-9023

Other identifiers 1

IdentifierTypeStateIssuer
3633804243OtherILBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Heritage Professional Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1174991616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GALE AVE",
            "address_2": "2E",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052065",
            "telephone_number": "708-296-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GALE AVE",
            "address_2": "2E",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052065",
            "telephone_number": "708-296-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PROFESSIONAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "SCHEMPER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-787-8425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "IL",
            "license": "178.010925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "3633804243",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.