Heather L Wilson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-5644 Issued in ID

Practice address

1103 W Ironwood Dr Ste a
Coeur D Alene, ID 83814-2604

Phone

(208) 889-1355

Fax

(208) 625-2036

NPI assigned

Oct 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reliance Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coeur d'Alene, ID
  • NPI 1649041757
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1871828657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 W BETH LOOP",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545366",
            "telephone_number": "208-889-1355",
            "fax_number": "208-625-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W IRONWOOD DR STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-889-1355",
            "fax_number": "208-625-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 W Ironwood Dr",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142604",
            "country_code": "US",
            "telephone_number": "208-676-1075",
            "fax_number": "208-676-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "1431",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-5407",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-5644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Williams
• Ronda Lynn Williamson, CNM
• Angela Willy
• David Christopher Wilson, DNP, APRN, FNP-C
• Elizabeth Wilson, M.A., CCC-SLP
• Jeffrey David Wilson, D.O.
• Madison Taylor Wilson, NP
• Nicole M Wineberg, M.S.
• Jordan Winegar, MD
• David K Wineinger, M.D.

• Mental Health Counselor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.