Heather S Dykema, LPC
Individual provider Active NPI Professional Counselor · Jackson, WI
NPI 1730853250 · NPPES record last updated Aug 7, 2021
Key facts
- NPI
- 1730853250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- W205N17415 Spring Ridge CT
Jackson, WI 53037-9129 - Phone
- (616) 450-8596
- NPI assigned
- Aug 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | WI | Yes |
Addresses
Primary practice location
W205N17415 Spring Ridge CT
Jackson, WI 53037-9129
Mailing address
W205N17415 Spring Ridge CT
Jackson, WI 53037-9129
Other providers in Jackson, WI
- Gregory A. Claypool
- Stacey L Davison
- Abigail Lee Deming
- Jane A Dixon
- Lisa Marie Draeger
- Scott McLean Foley
- Froedtert & the Medical College of Wisconsin Community Physicians Inc
- Traci Gibb
- Great Horizon Transportation LLC
- Hands on Therapy Specialists, LLC
All providers in Jackson, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.