Heather a. Reardon LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6018-125 Issued in WI

Legal business name

HEATHER A. REARDON LLC

Practice address

1 Bank Ave
Kaukauna, WI 54130-2581

Phone

(920) 470-8359

Fax

(920) 843-9381

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Anne Reardon-Nabbefeld, LPC

Title

Counselor

Phone

(920) 470-8359

Specialties & licenses 1

Addresses

Other names 1

• Creative Counseling Center Doing business as

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1760913362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BANK AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302581",
            "telephone_number": "920-470-8359",
            "fax_number": "920-843-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302581",
            "telephone_number": "920-470-8359",
            "fax_number": "920-843-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A. REARDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "REARDON-NABBEFELD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "920-470-8359",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WI",
            "license": "6018-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer A Haen, LMT
• Katie Hagerstrom, MSN, APNP, AGPC-BC
• Lorraine Hansen
• Noelle Beth Hauser, OTR
• Haven Heritage Adult Family Home LLC
• Heather Marie Heil, D.D.S.
• Angela Marie Heinkel, PA-C
• Carol Ann Higgins, P.T.A.
• Kimberly Huntley
• Laura Huss, DPT

• Counselor in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.