Active NPI
Laurie Heermance, M.S.
- Counselor
- Bloomington, IL
National Provider Identifier
1508224528
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
- 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Denver, CO
- NPI 1417962234
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.