Individual provider Active NPI

Heidi Eckroth Nunnemacher, LCSW

  • Clinical Social Worker
  • Oconomowoc, WI
National Provider Identifier
1699098905
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8026-123 Issued in WI
Practice address
830 Armour Rd Ste 3
Oconomowoc, WI 53066-3959
Phone
(262) 283-0994
NPI assigned
Mar 2, 2010
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 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 15425-132 WI
Clinical Social Worker 1041C0700X 8026-123 WI Primary

Addresses

Primary practice location

830 Armour Rd Ste 3
Oconomowoc, WI 53066-3959

Mailing address

830 Armour Rd Ste 3
Oconomowoc, WI 53066-3959
Phone (262) 283-0994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20150326002118 WI Practitioner - Clinical Social Worker 1254658412 Practice locations: Oconomowoc, WI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15425-132WIMDAddiction (Substance Use Disorder) Counselor
8026-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Treetop Counseling and Wellness, LLC Addiction (Substance Use Disorder) CurrentSince May 8, 2022 Accepting new patients

Locations

830 Armour Rd
Ste 3
Oconomowoc, WI 53066
Phone (262) 283-0994

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.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1699098905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 ARMOUR RD STE 3",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663959",
            "telephone_number": "262-283-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ARMOUR RD STE 3",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663959",
            "telephone_number": "262-283-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNEMACHER",
        "first_name": "HEIDI",
        "middle_name": "ECKROTH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15425-132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8026-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

Verify at the official NPI Registry.