DR. JOHN THOMAS HEROLDT ED.D., HSPP
NPI 1699794644
Psychologist - Clinical in La Porte, IN

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
717 MICHIGAN AVE, LA PORTE, IN 46350(219) 874-2518(219) 756-8945 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Thomas Heroldt Ed.d., Hspp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN THOMAS HEROLDT ED.D., HSPP (NPI 1699794644) is an individual clinical provider in La Porte, Indiana, licensed in Indiana (20040372A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1699794644
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHN THOMAS HEROLDTCredential: ED.D., HSPP
Location Address717 MICHIGAN AVELa Porte, IN 46350-3371
Mailing Address1652 Tippecanoe CtValparaiso, IN 46385-6142 · (219) 874-2518
Fax(219) 756-8945
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 14, 2007
NPI 1699794644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IN · 20040372A
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

717 MICHIGAN AVE, La Porte, IN 46350

Other Identifiers 3

Medicare ID-Type UnspecifiedP00226515IN · Railroad Medicare
Medicare ID-Type Unspecified229740IN
Medicare PIN1699794644IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Thomas Heroldt Ed.d., Hspp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062448442
PECOS Enrollment IDI20050718000249
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
502 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Heroldt's NPI number?

The NPI number for John Heroldt is 1699794644. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is John Heroldt located?

John Heroldt practices at 717 Michigan Ave, La Porte, IN 46350. The listed phone number is (219) 874-2518.

What is John Heroldt's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Heroldt enrolled in Medicare?

Yes. John Heroldt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Heroldt was last updated on December 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.