Heather Vagle, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010901 Issued in IL

Practice address

1411 N Kickapoo St Ste 227
Lincoln, IL 62656-1800

Phone

(309) 886-5038

NPI assigned

Aug 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Heather Vagle Counseling, PLLC

  • Professional Counselor
  • Lincoln, IL
  • NPI 1497467807

  Professional

  NPD Authorized official
• Heather Vagle Counseling PLLC

  • Professional Counselor
  • Coon Rapids, MN
  • NPI 1750267373

  Professional

  NPD Authorized official
• Northwinds Counseling Services, P.a.

  • Marriage & Family Therapist
  • Rogers, MN
  • NPI 1760562540

  MN

  Medicare reassignment

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1538612866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PALM CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017820",
            "telephone_number": "612-242-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N KICKAPOO ST STE 227",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561800",
            "telephone_number": "309-886-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGLE",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• United Diagnostic Services, LLC
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• Valora Counseling Services LLC
• Angela Vandyke, PHARMD
• Saira Wahab-Silas, M.D.
• Amir John Wahab, M.D.

• All providers in Lincoln, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.

Verify at the official NPI Registry.