Scott Edward Heise
Individual provider Active NPI Mental Health Counselor · Mount Carroll, IL
NPI 1821328063 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1821328063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1122 Healthcare Dr
Mount Carroll, IL 61053-1461 - Phone
- (815) 244-1376
- NPI assigned
- Jan 11, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1122 Healthcare Dr
Mount Carroll, IL 61053-1461
Mailing address
33 N Stewart Ave
Freeport, IL 61032-3780
Phone (815) 801-1260
Other providers in Mount Carroll, IL
- Christopher Gene Dinning
- Brenda Dorsey
- Dolores Downs
- Freeport Regional Health Care Foundation
- Fruit Belt Consulting LLC
- Amanda K Honchell I
- John Allan Hutchison
- Margaret O Hutson
- Cody Hutton
- Michelle Leigh Jensen
All providers in Mount Carroll, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.