Individual provider Active NPI

Heidi L Goehmann, LIMHP, LCSW, LMSW

  • Clinical Social Worker
  • Ludington, MI
National Provider Identifier
1346692084
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5705 W Johnson Rd
Ludington, MI 49431-1516
Phone
(231) 425-4414
Fax
(231) 425-4434
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1894 NE
Clinical Social Worker 1041C0700X 1741 NE
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X MI Primary

Addresses

Primary practice location

5705 W Johnson Rd
Ludington, MI 49431-1516

Mailing address

7346 Golfwood Dr
Ludington, MI 49431-9381
Phone (314) 420-2591

Other practice location 1

1218 W Madison Ave
Norfolk, NE 68701-4911
Phone (314) 420-2591

Other identifiers 1

IdentifierTypeStateIssuer
10026827800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20211029000926 MI Practitioner - Clinical Social Worker 1456749142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Associates LLCGroup PAC ID 0547403867, 7 clinicians

Practice addresses (Care Compare)

5705 W Johnson Rd
Ludington, MI 49431-1516
Phone (231) 425-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1894NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Associates LLC Clinical CurrentSince Nov 1, 2021 Accepting new patients
Heidi Goehmann, LCSW, Limhp CurrentSince Sep 27, 2020 Accepting new patients

Locations

409 W Ludington Ave
Ste 30
Ludington, MI 49431
Phone (231) 425-4414

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1346692084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7346 GOLFWOOD DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494319381",
            "telephone_number": "314-420-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 W JOHNSON RD",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311516",
            "telephone_number": "231-425-4414",
            "fax_number": "231-425-4434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687014911",
            "country_code": "US",
            "telephone_number": "314-420-2591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEHMANN",
        "first_name": "HEIDI",
        "middle_name": "L",
        "credential": "LIMHP, LCSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1894",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026827800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.