Mary Hegeman, LPC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7914226 Issued in WI

Practice address

503 Wisconsin Ave
Sheboygan, WI 53081-4147

Phone

(920) 650-4741

NPI assigned

Jun 19, 2024

Last updated

Jul 22, 2024By 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 1

Addresses

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.

• Catholic Charities of the Archdiocese of Milwaukee Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sheboygan, WI
  • NPI 1013990407
  NPD (past)
• Catholic Charities of the Archdiocese of Milwaukee Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Racine, WI
  • NPI 1619950011
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1356185003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 AUTUMN CT APT E206",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811256",
            "telephone_number": "920-650-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WISCONSIN AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814147",
            "telephone_number": "920-650-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGEMAN",
        "first_name": "MARY",
        "credential": "LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7914226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Grayce Hayen, LPC
• Kara E Hayford, M.D.
• Victoria Sue Head, COTA
• Healthstat Onsite Clinic HSM Sheboygan
• Heavenly Grace Health Services LLC
• Michael J Heili, M.D.
• Susan A Hein, MED APSW CADC III
• Heinen Chiropractic, S.C.
• Heinen Chiropractic, SC
• Kenneth S Heinen, DC

• Professional Counselor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.