Laurie Heinemannlongfield, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.003034 Issued in IL

Practice address

200 N Fairway Dr Ste 208
Vernon Hills, IL 60061-1803

Phone

(847) 996-6666

Fax

(847) 996-6665

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapediatrics, LLC

  • Mental Health Counselor
  • Vernon Hills, IL
  • NPI 1720098734

  Professional

  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1942835970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N FAIRWAY DR STE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611803",
            "telephone_number": "847-996-6666",
            "fax_number": "847-996-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N FAIRWAY DR STE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611803",
            "telephone_number": "847-996-6666",
            "fax_number": "847-996-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMANNLONGFIELD",
        "first_name": "LAURIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.003034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "178.003034",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@therapediatrics.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 N Fairway Dr Ste 208",
            "city": "Vernon Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600611803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hawthorn Medical S C
• Hawthorn Physical Medicine
• Hawthorn Place Outpatient Surgery Center LP
• Hawthorne Physical Medicine
• Hawthorne Psychiatric Associates, SC
• Cheryl E. Hemmer, OTR/L
• Kimberly Jo Henderson, DC
• Diana M Hernandez
• Melissa Anne Hernandez
• Highland Park CVS LLC

• Professional Counselor in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.