Heidi Goodreau

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

320 W Grand Ave Ste 204
Wisconsin Rapids, WI 54495-2781

Phone

(715) 421-1107

NPI assigned

Jul 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Hafermann Counseling Collaborative, LLC

  • Professional Counselor
  • Wisconsin Rapids, WI
  • NPI 1558043711

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1699513994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W GRAND AVE STE 204",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952781",
            "telephone_number": "715-421-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W GRAND AVE STE 204",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952781",
            "telephone_number": "715-421-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODREAU",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Gnan, RPH
• GNP Country Estates LLC
• GNP House Calls, LLC
• Cody L. Goessl, LAT
• Christopher Scott Goetsch
• Bruce David Gordon, MD
• Edward J Grabiec
• Morgan Graf, OTD
• Amber Lynee Grams, LPN
• Terri L Grasser, OTR

• Addiction (Substance Use Disorder) Counselor in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.