Individual provider Active NPI

Heidi Kim Wodrich, LPC, NCC

  • Professional Counselor
  • Lake Villa, IL
National Provider Identifier
1982029997
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178006378 Issued in IL
Practice address
314 Greenview LN
Lake Villa, IL 60046-6461
Phone
(847) 354-0354
Fax
(847) 265-9331
NPI assigned
Feb 27, 2014
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 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 178006378 IL Primary

Addresses

Primary practice location

314 Greenview LN
Lake Villa, IL 60046-6461

Mailing address

314 Greenview LN
Lake Villa, IL 60046-6461
Phone (847) 354-0354

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
I20241001001732 IL Practitioner - Mental Health Counselor 5395159529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

314 Greenview LN
Lake Villa, IL 60046-6461
Phone (847) 354-0354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178006378ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi Seiden Wodrich Counseling & Consulting, LLC CurrentSince Feb 15, 2024 Accepting new patients
The McKnight Group LLC Professional Past Accepting new patients

Locations

2189 N State Route 83
Round Lake Beach, IL 60073
Phone (312) 857-5382

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, 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": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1982029997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GREENVIEW LN",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466461",
            "telephone_number": "847-354-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GREENVIEW LN",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466461",
            "telephone_number": "847-354-0354",
            "fax_number": "847-265-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODRICH",
        "first_name": "HEIDI",
        "middle_name": "KIM",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178006378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

Verify at the official NPI Registry.