Provider Demographics
NPI:1154419976
Name:SIMONSON, HEATHER NH
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:NH
Last Name:SIMONSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23295 US HWY 14
Mailing Address - Street 2:
Mailing Address - City:RICHLAND CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:53581-8911
Mailing Address - Country:US
Mailing Address - Phone:608-647-4705
Mailing Address - Fax:
Practice Address - Street 1:23295 US HWY 14
Practice Address - Street 2:
Practice Address - City:RICHLAND CENTER
Practice Address - State:WI
Practice Address - Zip Code:53581-8911
Practice Address - Country:US
Practice Address - Phone:608-647-4705
Practice Address - Fax:608-647-8979
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3533-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40991800Medicaid