Individual provider Active NPI

Micah W Heeren, MA, LPC

  • Professional Counselor
  • Mitchell, SD
National Provider Identifier
1922666247
Registry record updated Jun 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20370 Issued in SD
Practice address
41150 255TH St
Mitchell, SD 57301-7836
Phone
(605) 929-1558
NPI assigned
Jun 1, 2019
Last updated
Jun 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2019

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 20370 SD Primary

Addresses

Primary practice location

41150 255TH St
Mitchell, SD 57301-7836

Mailing address

41150 255TH St
Mitchell, SD 57301-7836
Phone (605) 929-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20250602002914 SD Practitioner - Mental Health Counselor 4688183635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Engage Services LLCGroup PAC ID 6901322833, 5 clinicians

Practice addresses (Care Compare)

1130 S Burr St
Suite 201
Mitchell, SD 57301-4579
Phone (605) 990-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
20370SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Services, LLC CurrentSince Mar 21, 2025 Accepting new patients

Locations

1130 S Burr St
Ste 201
Mitchell, SD 57301
Phone (605) 990-6500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1922666247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41150 255TH ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017836",
            "telephone_number": "605-929-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41150 255TH ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017836",
            "telephone_number": "605-929-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEREN",
        "first_name": "MICAH",
        "middle_name": "W",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "20370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.