Active NPI
Heather M Heraeus, LCSW
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1780847707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 34005477A
- Practice address
- 615 N Alabama St Ste 320
Indianapolis, IN 46204-1432 - Phone
- (317) 634-6341
- Fax
- (317) 464-9575
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 34005477A | IN | Primary |
Addresses
Primary practice location
615 N Alabama St Ste 320
Indianapolis, IN 46204-1432
Mailing address
615 N Alabama St Ste 320
Indianapolis, IN 46204-1432
Phone (317) 634-6341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264520 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 1, 2023 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005477A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1780847707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N ALABAMA ST STE 320",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041432",
"telephone_number": "317-634-6341",
"fax_number": "317-464-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N ALABAMA ST STE 320",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041432",
"telephone_number": "317-634-6341",
"fax_number": "317-464-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERAEUS",
"first_name": "HEATHER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "34005477A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100264520",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.