Active NPI
Steve D Heitkamp, DMIN, LCPC
- Professional Counselor
- O'Fallon, IL
National Provider Identifier
1609867712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180006995
- Practice address
- 640 Pierce Blvd Ste 200
O Fallon, IL 62269-2584 - Phone
- (618) 367-2194
- NPI assigned
- Oct 31, 2005
- Last updated
- Oct 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180006995 | IL | |
| Professional Counselor | 101YP2500X | 180006995 | IL | Primary |
Addresses
Primary practice location
640 Pierce Blvd Ste 200
O Fallon, IL 62269-2584
Mailing address
640 Pierce Blvd Ste 200
O Fallon, IL 62269-2584
Phone (618) 367-2194
Other practice location 1
785 Wall St Ste 200
O Fallon, IL 62269-1959
Phone (618) 367-2194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2025 through Apr 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180006995 | IL | MD | Mental Health Counselor |
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.
-
- Professional Counselor
- Belleville, IL
- NPI 1336392935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1609867712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 PIERCE BLVD STE 200",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692584",
"telephone_number": "618-367-2194",
"fax_number": "618-726-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 PIERCE BLVD STE 200",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692584",
"telephone_number": "618-367-2194"
}
],
"practiceLocations": [
{
"address_1": "785 Wall St Ste 200",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622691959",
"country_code": "US",
"telephone_number": "618-367-2194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEITKAMP",
"first_name": "STEVE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMIN, LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180006995",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180006995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.