Individual provider Active NPI

Abigail J Heuring, MS, LMFT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1467915132
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1347-124 Issued in WI
Practice address
4513 Vernon Blvd Ste 100
Madison, WI 53705-4964
Phone
(608) 455-8999
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 666 WI
Marriage & Family Therapist 106H00000X 1347-124 WI Primary

Addresses

Primary practice location

4513 Vernon Blvd Ste 100
Madison, WI 53705-4964

Mailing address

414 Donofrio Dr Ste 330
Madison, WI 53719-2846
Phone (920) 470-1032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240206002633 WI Practitioner - Marriage and Family Therapist 7315380458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1347-124WIMDMarriage & Family Therapist
666WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

414 Donofrio Dr
Ste 330
Madison, WI 53719
Phone (253) 346-1373

440 Science Dr
Ste 300
Madison, WI 53711
Phone (608) 620-7028

10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.abigalheuring@149809.advancedmd-direct.com

Organizations & group practices 1

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1467915132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 DONOFRIO DR STE 330",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192846",
            "telephone_number": "920-470-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 VERNON BLVD STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054964",
            "telephone_number": "608-455-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEURING",
        "first_name": "ABIGAIL",
        "middle_name": "J",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "666",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1347-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.