Individual provider Active NPI

Jill Ann Heroux, LMHC

  • Mental Health Counselor
  • Westport, MA
National Provider Identifier
1790972164
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
699 State Rd Ste 3
Westport, MA 02790-2871
Phone
(774) 322-1485
Fax
(508) 802-4982
NPI assigned
Oct 1, 2007
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

699 State Rd Ste 3
Westport, MA 02790-2871

Mailing address

699 State Rd Ste 3
Westport, MA 02790-2871
Phone (774) 322-1485

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jill@InsightfulMindsCounseling.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7767MAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Minds LLC Mental Health CurrentSince Jan 22, 2023 Accepting new patients

Locations

699 State Rd
Ste 3
Westport, MA 02790
Phone (774) 322-1485

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1790972164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 STATE RD STE 3",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902871",
            "telephone_number": "774-322-1485",
            "fax_number": "508-802-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 STATE RD STE 3",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027902871",
            "telephone_number": "774-322-1485",
            "fax_number": "508-802-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROUX",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jill@InsightfulMindsCounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "699 State Rd Ste 3",
            "city": "Westport",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027902871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.