Mark Allen Heriford, LPC, CADC is a
Counselor based in Atlanta, Illinois. Mark Allen Heriford is licensed to practice in Illinois (license number 178.021648) and his current practice location is
121 N Lake Dr, Atlanta, Illinois. He can be reached at his office (for appointments etc.) via phone at
(913) 645-3587.
NPI number for Mark Allen Heriford is 1992596498 and his current mailing address is 702 W Chestnut St, Bloomington, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992596498.
Healthcare Provider's Profile
Full Name | Mark Allen Heriford |
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Gender | Male |
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Speciality | Counselor |
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Location | 121 N Lake Dr, Atlanta, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992596498
- Provider Enumeration Date: 05/14/2025
- Last Update Date: 05/14/2025
Medical Identifiers
Medical identifiers for Mark Allen Heriford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992596498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 178.021648 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Allen Heriford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark Allen Heriford, LPC, CADC 702 W Chestnut St, Bloomington, IL 61701-2814 Ph: (309) 557-1400 | Mark Allen Heriford, LPC, CADC 121 N Lake Dr, Atlanta, IL 61723-8819 Ph: (913) 645-3587 |
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