Individual provider Active NPI

Heidi Colton, LCSW

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1841645066
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011118 Issued in IL
Practice address
3116 N Dries LN
Peoria, IL 61604-1278
Phone
(309) 686-1147
Fax
(309) 686-1185
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149011118 IL Primary

Addresses

Primary practice location

3116 N Dries LN
Peoria, IL 61604-1278

Mailing address

3116 N Dries LN
Peoria, IL 61604-1278
Phone (309) 686-1147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181005000405 IL Practitioner - Clinical Social Worker 0840542635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BalancedGroup PAC ID 9830352020, 10 clinicians

Practice addresses (Care Compare)

100 Hillcrest Dr
Suite C
Washington, IL 61571-2227
Phone (309) 444-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Sep 10, 2018 Accepting new patients
Balanced Clinical CurrentSince Jul 26, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Central Il Psychiatric Associates, Inc Past Accepting new patients

Locations

3422 Court St
#A
Pekin, IL 61554
Phone (309) 477-6000

3422 Court St
Pekin, IL 61554
Phone (309) 477-6000

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

100 Hillcrest Dr
Ste C
Washington, IL 61571
Phone (309) 444-2800

100 Hillcrest Dr
Ste E
Washington, IL 61571
Phone (248) 515-4735

Organizations & group practices 4

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1841645066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 N DRIES LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041278",
            "telephone_number": "309-686-1147",
            "fax_number": "309-686-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 N DRIES LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041278",
            "telephone_number": "309-686-1147",
            "fax_number": "309-686-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTON",
        "first_name": "HEIDI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.