Individual provider Active NPI

Heather Marie Conway-Haehn, LPCC

  • Professional Counselor
  • Saint Cloud, MN
National Provider Identifier
1780952481
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1073 Issued in MN
Practice address
2700 1St St N Ste 106B
Saint Cloud, MN 56303-4583
Phone
(320) 247-5202
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1073 MN Primary
Professional Counselor 101YP2500X 1122 MN

Addresses

Primary practice location

2700 1St St N Ste 106B
Saint Cloud, MN 56303-4583

Mailing address

2700 1St St N Ste 106B
Saint Cloud, MN 56303-4583
Phone (320) 282-2447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108005962 MN Practitioner - Mental Health Counselor 7517318116 Practice locations: Saint Cloud, MN

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2700 1St St N
Suite 106B
Saint Cloud, MN 56303-4256
Phone (320) 247-5202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1073MNMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Heathers Counseling Service, LLC CurrentSince Oct 17, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1780952481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N STE 106B",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034583",
            "telephone_number": "320-282-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N STE 106B",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034583",
            "telephone_number": "320-247-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY-HAEHN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1073",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.