Provider Demographics
NPI:1598156986
Name:LOBDELL, HEIDI A (LCPC LPC CSAC CAADC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:A
Last Name:LOBDELL
Suffix:
Gender:F
Credentials:LCPC LPC CSAC CAADC
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:TORKELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:152 W MAIN ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:LENA
Mailing Address - State:IL
Mailing Address - Zip Code:61048
Mailing Address - Country:US
Mailing Address - Phone:815-275-6005
Mailing Address - Fax:
Practice Address - Street 1:152 W MAIN ST
Practice Address - Street 2:SUITE 10
Practice Address - City:LENA
Practice Address - State:IL
Practice Address - Zip Code:61048
Practice Address - Country:US
Practice Address - Phone:815-275-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL32166101YA0400X
WI16229-132101YA0400X
IL180.009112101YM0800X, 101YP2500X
WI6376-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health