Individual provider Active NPI

Jolie Heggeseth, MFT-IT

  • Marriage & Family Therapist
  • Neenah, WI
National Provider Identifier
1942884267
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
783-225 Issued in WI
Practice address
145 W Wisconsin Ave
Neenah, WI 54956-3075
Phone
(920) 725-1230
Fax
(920) 215-6164
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 783-225 WI Primary

Addresses

Primary practice location

145 W Wisconsin Ave
Neenah, WI 54956-3075

Mailing address

145 W Wisconsin Ave
Neenah, WI 54956-3075
Phone (920) 725-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
783-225WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of the Fox Valley, SC Multi-Specialty PastSince Apr 26, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1942884267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W WISCONSIN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563075",
            "telephone_number": "920-725-1230",
            "fax_number": "920-215-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W WISCONSIN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563075",
            "telephone_number": "920-725-1230",
            "fax_number": "920-215-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGESETH",
        "first_name": "JOLIE",
        "name_prefix": "Mrs.",
        "credential": "MFT-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "783-225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.