Individual provider Active NPI

Cameron Jade Heiman

  • Professional Counselor
  • Green Bay, WI
National Provider Identifier
1457974438
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3431 Commodity LN
Green Bay, WI 54304-5688
Phone
(800) 222-8590
NPI assigned
May 25, 2020
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3431 Commodity LN
Green Bay, WI 54304-5688

Mailing address

3431 Commodity LN
Green Bay, WI 54304-5688

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1445 Woodmont LN NW
Suite 475
Atlanta, GA 30318-2866

712 Summit Ave
Oconomowoc, WI 53066-3895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Donath Psychological Services S C Professional CurrentSince Jun 1, 2026 Accepting new patients
Mental Wellness Center, LLC PastSince Apr 30, 2023 Accepting new patients

Locations

101 W Edison Ave
Ste 246
Appleton, WI 54915
Phone (262) 226-2006

712 Summit Ave
Oconomowoc, WI 53066
Phone (262) 226-2006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1457974438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 COMMODITY LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 COMMODITY LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045688",
            "telephone_number": "800-222-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "CAMERON",
        "middle_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.