Active NPI
Nicole Marie Heller, LMFT
- Marriage & Family Therapist
- Barrington, IL
National Provider Identifier
1659758076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001409
- Practice address
- 18 East Dundee Road
Building 4, Suite 210
Barrington, IL 60010 - Phone
- (331) 213-2325
- NPI assigned
- May 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 208.000412 | IL | |
| Marriage & Family Therapist | 106H00000X | 166.001409 | IL | Primary |
Addresses
Primary practice location
18 East Dundee Road
Building 4, Suite 210
Barrington, IL 60010
Mailing address
1447 Kings CT
Naperville, IL 60563-2106
Phone (331) 213-2325
Other practice location 1
1447 Kings Ct
Naperville, IL 60563-2106
Phone (630) 664-3012
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001409 | IL | MD | Marriage & Family Therapist |
| 208.000412 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1659758076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 KINGS CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632106",
"telephone_number": "331-213-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 EAST DUNDEE ROAD",
"address_2": "BUILDING 4, SUITE 210",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "60010",
"telephone_number": "331-213-2325"
}
],
"practiceLocations": [
{
"address_1": "1447 Kings Ct",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605632106",
"country_code": "US",
"telephone_number": "630-664-3012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HELLER",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "208.000412",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.