Provider Demographics
NPI:1659266765
Name:BLUE HERON COUNSELING AND ASSESSMENT
Entity type:Organization
Organization Name:BLUE HERON COUNSELING AND ASSESSMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGISY
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:DOREEN
Authorized Official - Last Name:ASCHENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:734-546-5753
Mailing Address - Street 1:500 N RANDALL RD UNIT 1084
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-3751
Mailing Address - Country:US
Mailing Address - Phone:734-546-5753
Mailing Address - Fax:
Practice Address - Street 1:422 MADISON ST UNIT 1084
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-2006
Practice Address - Country:US
Practice Address - Phone:734-546-5753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty