Individual provider Active NPI

Amy Heiman, LCPC

  • Professional Counselor
  • Sugar Grove, IL
National Provider Identifier
1912907932
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001844 Issued in IL
Practice address
330 Division Dr Ste a
Sugar Grove, IL 60554-9800
Phone
(630) 708-0317
NPI assigned
Aug 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 180-001844 IL Primary

Addresses

Primary practice location

330 Division Dr Ste a
Sugar Grove, IL 60554-9800

Mailing address

330 Division Dr Ste a
Sugar Grove, IL 60554-9800
Phone (630) 708-0317

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
I20240209003351 IL Practitioner - Mental Health Counselor 4082057625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

330 Division Dr
Suite a
Sugar Grove, IL 60554-9800
Phone (630) 708-0317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-001844ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Counseling Center, PC CurrentSince Jan 1, 2024 Accepting new patients
Kaleidoscope Clinical Counseling, PLLC Professional CurrentSince Jun 1, 2024 Accepting new patients

Locations

1120 E Main St
Ste 201
St Charles, IL 60174
Phone (630) 377-6613

330 Division Dr
#A
Sugar Grove, IL 60554
Phone (630) 484-1975

330 Division Dr
#J
Sugar Grove, IL 60554
Phone (630) 391-2981

110 E Countryside Pkwy
Ste C
Yorkville, IL 60560
Phone (630) 553-1600

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1912907932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DIVISION DR STE A",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549800",
            "telephone_number": "630-708-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DIVISION DR STE A",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549800",
            "telephone_number": "630-708-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "AMY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

Verify at the official NPI Registry.