Thomas Heroldt, MA,LCPC,CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180004128 Issued in IL

Practice address

600 Spring Hill Ring Rd Ste 105
West Dundee, IL 60118-7301

Phone

(312) 513-3702

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thomas Heroldt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Pathways to Change Counseling, Inc.

  • Clinical Social Worker
  • Roselle, IL
  • NPI 1558606475
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1376656884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROHLWING RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073217",
            "telephone_number": "847-524-8800",
            "fax_number": "847-524-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD STE 105",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187301",
            "telephone_number": "312-513-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Randall Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "IL",
            "postal_code": "601741500",
            "country_code": "US",
            "telephone_number": "312-513-3702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Rohlwing Rd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073217",
            "country_code": "US",
            "telephone_number": "847-524-8800 x151",
            "fax_number": "847-524-8824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEROLDT",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MA,LCPC,CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081646690",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "HEROLDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark Hasselman, LCSW
• Douglas A Henning, MD
• Aaron Henry
• Juan Hernandez
• Melany Hernandez
• Herron Speech Therapy, PLLC
• Holding Hope Services
• Jessie Kate Huebner, LCSW
• Meredith Hunsicker
• In Home Health Services, Inc.

• Professional Counselor in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.