Heidi Nereson-Bott, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016112 Issued in MI

Practice address

221 Trowbridge St NE
Grand Rapids, MI 49503-1885

Phone

(616) 499-7711

NPI assigned

Nov 27, 2019

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

Other names 1

• Heidi Engwert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• HJB Therapy, LLC

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  • Grandville, MI
  • NPI 1588347371
  NPD Authorized official
• Lantern Counseling LLC

  • Professional Counselor
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  • NPI 1205595238
  NPD Authorized official
• HJB Therapy, LLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1285271023
  NPD

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1487291217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HAGUE AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 TROWBRIDGE ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031885",
            "telephone_number": "616-499-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERESON-BOTT",
        "first_name": "HEIDI",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "ENGWERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary David Nelson, DC
• Caitlin Marie Nemeth, MD
• Kevin M. Nemeth, M.D.
• Neo Natal Associates PLC
• Nephrology Consultants of Grand Rapids PC
• Natenael Kebede Nesibu, DO
• James A Ness, O.D.
• Nest Counseling and Consulting LLC
• Sondra Lynn Nestell
• Vikki Nestico, MSTOM, L.AC.

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.