Individual provider Active NPI

Heidi M Rupnow, LPC

  • Professional Counselor
  • Cedarburg, WI
National Provider Identifier
1740944362
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8312-125 Issued in WI
Practice address
W67 N222 Evergreen Blvd
Suite #111
Cedarburg, WI 53012-2650
Phone
(262) 375-9225
Fax
(262) 375-9005
NPI assigned
Oct 29, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8312-125 WI Primary

Addresses

Primary practice location

W67 N222 Evergreen Blvd
Suite #111
Cedarburg, WI 53012-2650

Mailing address

W67 N222 Evergreen Blvd
Suite #111
Cedarburg, WI 53012-2650
Phone (262) 375-9225

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

LicenseStateTypeSpecialty
8312-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Weeden & Associates, LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

W67N222 Evergreen Blvd
Ste 111
Cedarburg, WI 53012
Phone (262) 375-9222

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1740944362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W67 N222 EVERGREEN BLVD",
            "address_2": "SUITE #111",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122650",
            "telephone_number": "262-375-9225",
            "fax_number": "262-375-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W67 N222 EVERGREEN BLVD",
            "address_2": "SUITE #111",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122650",
            "telephone_number": "262-375-9225",
            "fax_number": "262-375-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPNOW",
        "first_name": "HEIDI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8312-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.