Active NPI
Molly Hoogerwerf, LCPC
- Pastoral Counselor
- Galena, IL
National Provider Identifier
1982128195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 19066
- Practice address
- 117 Irvine St Ste B
Galena, IL 61036-1365 - Phone
- (815) 281-0380
- NPI assigned
- Jul 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 19066 | Primary |
Addresses
Primary practice location
117 Irvine St Ste B
Galena, IL 61036-1365
Mailing address
117 Irvine St Ste B
Galena, IL 61036-1365
Phone (815) 281-0380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982128195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 IRVINE ST STE B",
"city": "GALENA",
"state": "IL",
"postal_code": "610361365",
"telephone_number": "815-281-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 IRVINE ST STE B",
"city": "GALENA",
"state": "IL",
"postal_code": "610361365",
"telephone_number": "815-281-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOGERWERF",
"first_name": "MOLLY",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": "19066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.