Individual provider Active NPI

Heather Perdue, M. ED., LPCC, ADDC

  • Addiction (Substance Use Disorder) Counselor
  • Fort Collins, CO
National Provider Identifier
1629686548
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ADDC.0000064 Issued in CO
Practice address
3000 S College Ave Unit 202
Fort Collins, CO 80525-2558
Phone
(970) 221-4057
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADDC.0000064 CO Primary
Mental Health Counselor 101YM0800X LPC.0020783 CO

Addresses

Primary practice location

3000 S College Ave Unit 202
Fort Collins, CO 80525-2558

Mailing address

3000 S College Ave Unit 202
Fort Collins, CO 80525-2558

Other practice location 1

3001 Taft Ave Ste 120
Loveland, CO 80538-8307
Phone (970) 663-0900

Other practice location 2

1601 25th Ave
Greeley, CO 80634-4907
Phone (970) 378-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
ADDC.0000064COMDAddiction (Substance Use Disorder) Counselor
LPC.0020783COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reyes Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1629686548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S COLLEGE AVE UNIT 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S COLLEGE AVE UNIT 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252558",
            "telephone_number": "970-221-4057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Taft Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805388307",
            "country_code": "US",
            "telephone_number": "970-663-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344907",
            "country_code": "US",
            "telephone_number": "970-378-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "HEATHER",
        "credential": "M. ED., LPCC, ADDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ADDC.0000064",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0020783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.