Individual provider Active NPI

Natalie C Heinz, MA, LCPC, NCC

  • Professional Counselor
  • Peoria, IL
National Provider Identifier
1912655697
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.012269 Issued in IL
Practice address
5113 N Executive Dr Ste 101
Peoria, IL 61614-4884
Phone
(309) 214-9220
NPI assigned
Mar 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.012269 IL Primary

Addresses

Primary practice location

5113 N Executive Dr Ste 101
Peoria, IL 61614-4884

Mailing address

5113 N Executive Dr Ste 101
Peoria, IL 61614-4884
Phone (309) 214-9220

Other names 1

  • Natalie C Ernst Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 6, 2025 through Jan 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.012269ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Heinz Counseling PLLC Professional CurrentSince Apr 13, 2025 Accepting new patients
Summit Family Therapy PLLC Professional PastSince Mar 1, 2022 Accepting new patients

Locations

5113 N Executive Dr
Ste 101
Peoria, IL 61614
Phone (309) 214-9220

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": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1912655697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 N EXECUTIVE DR STE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144884",
            "telephone_number": "309-214-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 N EXECUTIVE DR STE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144884",
            "telephone_number": "309-214-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "NATALIE",
        "middle_name": "C",
        "credential": "MA, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "ERNST",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.