Heather Anderson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180001484 Issued in IL

Practice address

122 W Liberty Dr
Wheaton, IL 60187-5124

Phone

(630) 682-1910

Fax

(630) 682-0655

NPI assigned

Sep 27, 2007

Last updated

Dec 18, 2019By the provider in NPPES

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

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outreach Community Ministries IncGroup PAC ID 6103188016, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Outreach Community Ministries Inc

  dba Outreach Community Counseling Center in Carol Stream

  • Adolescent and Children Mental Health Clinic/Center
  • Wheaton, IL
  • NPI 1255443669

  Professional

  Medicare reassignment Care Compare group NPD
• Outreach Wheaton

  • Adolescent and Children Mental Health Clinic/Center
  • Wheaton, IL
  • NPI 1750948501

  Professional

  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1295922805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S SCHMALE RD STE 102",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882771",
            "telephone_number": "630-682-1910",
            "fax_number": "630-682-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W LIBERTY DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875124",
            "telephone_number": "630-682-1910",
            "fax_number": "630-682-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HEATHER",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Andersen
• Susan J Anderson-Nelson, M.D.
• Africa C Anderson, ED.S. ATP, RN
• Cindy Anderson
• Dionna Anderson
• Marc Anderson, L.C.S.W.
• Michele Anderson
• Natalie Anderson, CCC-SLP
• Sarah Jane Anderson, A.T.C.
• Steven E Anderson

• Professional Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.