Heshima Mance, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180015103 Issued in IL

Practice address

4449 S Lake Park Ave Unit 2S
Chicago, IL 60653-4189

Phone

(312) 525-1031

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pathways to Healing Counseling and Guidance

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1053150029
  NPD Authorized official
• Wellness Center for Counseling and Guidance

  • Professional Counselor
  • Chicago, IL
  • NPI 1528753605
  NPD Authorized official

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1184331845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604380020",
            "telephone_number": "312-525-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 S LAKE PARK AVE UNIT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534189",
            "telephone_number": "312-525-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCE",
        "first_name": "HESHIMA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180015103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heshima@wellnesscentercg.com",
            "affiliation": "N",
            "endpointDescription": "behavioral health",
            "address_1": "4449 S Lake Park Ave Unit 2S",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606534189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arlynn H Manasse, MPH APN CPNP
• Elaf Manassra, RRT
• Brian Manburg
• Rexson Louis Agustin Mancao, PT, DPT
• Joseph James Mancari, PHARM.D.
• Tanya Mance, MA, LPC
• Emily Mancewicz, CRNA
• Genesis Talia Mancha, MD
• Monika Manchanda, MD
• Shivon Manchanda, MD

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.