Active NPI
Laurie Heermance, M.S.
- Counselor
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.012947
- Practice address
- 702 W Chestnut St
Bloomington, IL 61701-2814 - Phone
- (309) 557-1473
- NPI assigned
- Feb 4, 2016
- Last updated
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counselor | 101Y00000X | 178.012947 | IL | Primary |
Addresses
Primary practice location
702 W Chestnut St
Bloomington, IL 61701-2814
Mailing address
1304 Dianne Dr
Bloomington, IL 61704-2559
Phone (309) 533-0894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
787 E Belleview Ave
Suite 1100
Englewood, CO 80111-6097
PO Box
Suite 1173
Salem, UT 84653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.012947 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Center | Current | Accepting new patients |
Locations
7887 E Belleview Ave
Ste 1100
Englewood, CO 80111
Phone (303) 228-1649
8997 S Broadway
#C
Highlands Ranch, CO 80129
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, 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": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1508224528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 DIANNE DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617042559",
"telephone_number": "309-533-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W CHESTNUT ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617012814",
"telephone_number": "309-557-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEERMANCE",
"first_name": "LAURIE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.012947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.