Active NPI
Heather Rae Merkle, LCPC
- Professional Counselor
- Maryville, IL
National Provider Identifier
1831699263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009891
- Practice address
- 3 Oak Dr Ste B
Maryville, IL 62062-5635 - Phone
- (618) 972-1568
- NPI assigned
- Feb 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2021014184 | MO | |
| Professional Counselor | 101YP2500X | 180.009891 | IL | Primary |
Addresses
Primary practice location
3 Oak Dr Ste B
Maryville, IL 62062-5635
Mailing address
3 Oak Dr Ste B
Maryville, IL 62062-5635
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.009891 | IL | MD | Professional Counselor |
| 2021014184 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope & Harmony Counseling PLLC | Professional | Current | Accepting new patients |
| Counselors Associates | Professional | Past | Accepting new patients |
Locations
60 S State Route 157
Ste 18
Edwardsville, IL 62025
Phone (618) 342-8341
Organizations & group practices 2
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": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1831699263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OAK DR STE B",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 OAK DR STE B",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625635",
"telephone_number": "618-972-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKLE",
"first_name": "HEATHER",
"middle_name": "RAE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2021014184",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.