Active NPI
Nicholas Heimer, LCPC
- Professional Counselor
- Joliet, IL
National Provider Identifier
1326585092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180010021
- Practice address
- 501 Ella Ave
Joliet, IL 60433-2799 - Phone
- (630) 759-8123
- NPI assigned
- Jan 19, 2017
- Last updated
- Aug 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180010021 | IL | Primary |
Addresses
Primary practice location
501 Ella Ave
Joliet, IL 60433-2799
Mailing address
24946 Chelsea Lane
Plainfield, IL 60544
Phone (815) 585-0527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180010021 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heimer Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Plainfield, IL
- NPI 1629507660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1326585092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24946 CHELSEA LANE",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60544",
"telephone_number": "815-585-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 ELLA AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604332799",
"telephone_number": "630-759-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMER",
"first_name": "NICHOLAS",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-19",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180010021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.