Individual provider Active NPI

Heather L Sims, M.A., LPC, CSAC

  • Professional Counselor
  • Greenfield, WI
National Provider Identifier
1366682957
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4840-125 Issued in WI
Practice address
4420 S 108TH St
Greenfield, WI 53228-2505
Phone
(414) 383-4486
Fax
(414) 235-3453
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4840-125 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15652-132 WI

Addresses

Primary practice location

4420 S 108TH St
Greenfield, WI 53228-2505

Mailing address

4420 S 108TH St
Greenfield, WI 53228-2505
Phone (414) 383-4486

Other names 1

  • Heather L Becker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15652-132WIMDAddiction (Substance Use Disorder) Counselor
4840-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1366682957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 S 108TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282505",
            "telephone_number": "414-383-4486",
            "fax_number": "414-235-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 S 108TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282505",
            "telephone_number": "414-383-4486",
            "fax_number": "414-235-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4840-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15652-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BECKER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.