Matthew R Heerema

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10000875 Issued in MA

Practice address

4807 Willow TRL
Marlborough, MA 01752-2573

Phone

(508) 277-2494

NPI assigned

Dec 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MA

  Medicare reassignment NPD
• Communities for People, Inc

  • Community/Behavioral Health Agency
  • Boston, MA
  • NPI 1659442291
  NPD (past)

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1982472197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 WILLOW TRL",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522573",
            "telephone_number": "508-277-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 WILLOW TRL",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522573",
            "telephone_number": "508-277-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEREMA",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katlin Hearn
• Hearthstone at New Horizons Inc
• Katelyn Heath
• Shaquetta Heathman
• Carolyn E Hebert, LMHC
• Susan Carol Heller, M.S.CCC-SLP
• Laurel Hellman
• Anthony M Henderson Sr.
• Rebecca Hendrickson
• Christina Marie Hennessy

• Mental Health Counselor in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.