HEATHER HILDA ROEN M.S LPC CSAC NPI 1457610750

NPI Information

NPI: 1457610750
Provider Name: HEATHER HILDA ROEN, M.S, LPC, CSAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1000 STARR AVE
EAU CLAIRE, WI
ZIP 54703
Phone: (715) 858-4850
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Heather Hilda Roen, M.S, LPC, CSAC is a professional counselor in Eau Claire, WI. Heather Hilda Roen, M.S, LPC, CSAC NPI is 1457610750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 STARR AVE
EAU CLAIRE, WI
ZIP 54703-821
Phone: (715) 858-4850
Fax: (715) 858-4513

The NPI 1457610750 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 12/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15625132	WISCONSIN	No
2	101YP2500X	Counselor	Professional	5003-123	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1457610750	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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