Heidi McCardell-Wentworth, LCPC, NCC, BC-DMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180010625 Issued in IL

Practice address

1010 Jorie Blvd Ste 366
Oak Brook, IL 60523-4476

Phone

(630) 849-4350

NPI assigned

May 26, 2011

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Mosaic Counseling and Wellness LLC

  dba Mosaic Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Park, IL
  • NPI 1851065502
  Medicare reassignment NPD (past)
• Rowan Tree Psychotherapy, LLC

  • Mental Health Counselor
  • Oak Brook, IL
  • NPI 1134668528
  NPD (past) Authorized official

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1225321052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 366",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234476",
            "telephone_number": "630-849-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 366",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234476",
            "telephone_number": "630-849-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARDELL-WENTWORTH",
        "first_name": "HEIDI",
        "credential": "LCPC, NCC, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": "258132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180010625",
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "IL",
            "license": "1203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1346402302",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Charlotte Mattiuz, MS,OTR/L
• Marilyn Kay Maul, LMFT LCPC
• Jo Ellen Maurer
• Gwendolyn Maxie-Brown
• Jennifer McAdams
• Dilek McCombs, PSY.D.
• Anthony John McDowell, M.S. LCPC
• Kristine McGinnis
• Kevin McGuire, DPT
• Daniel McInerney

• Mental Health Counselor in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.