Elizabeth Louise Heitzmann, MAC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1642-226 Issued in WI

Practice address

640 S Pier Dr
Sheboygan, WI 53081-4986

Phone

(920) 698-0019

Fax

(920) 803-0337

NPI assigned

Mar 26, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Float Doctor LLC

  • Rehabilitation Clinic/Center
  • Sheboygan, WI
  • NPI 1164178042
  NPD Authorized official
• Live Your Best Life Counsleing and Mental Health LLC

  • Professional Counselor
  • Sheboygan, WI
  • NPI 1518334119
  NPD (past) Authorized official

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1902148059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S PIER DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814986",
            "telephone_number": "920-698-0019",
            "fax_number": "920-208-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S PIER DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814986",
            "telephone_number": "920-698-0019",
            "fax_number": "920-803-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITZMANN",
        "first_name": "ELIZABETH",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "5630-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1642-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000032020",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heinen Chiropractic, S.C.
• Heinen Chiropractic, SC
• Kenneth S Heinen, DC
• Craig L Heins, M.D.
• Kellie Marie Heitzkey, MS-CCC SLP
• Christie Anne Helgemo, MS OTR
• Ashley Marie Heling, RDH
• Jennifer Lee Heling, PTA
• Jean Heller
• Serena Helman

• Professional Counselor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.