MARK ALLEN HERIFORD LPC, CADC
NPI 1992596498
Counselor in Atlanta, IL

Q: What is Mark Heriford's NPI number?

The NPI number for Mark Heriford is 1992596498. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Q: What is Mark Heriford's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Heriford was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2025PECOS Enrolled

121 N LAKE DR, ATLANTA, IL 61723(913) 645-3587 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Allen Heriford Lpc, Cadc NPPES

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

MARK ALLEN HERIFORD LPC, CADC (NPI 1992596498) is an individual counselor in Atlanta, Illinois, licensed in Illinois (178.021648) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992596498

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMARK ALLEN HERIFORDCredential: LPC, CADC

Location Address121 N LAKE DRAtlanta, IL 61723-8819

Mailing Address702 W Chestnut StBloomington, IL 61701-2814 · (309) 557-1400

Phone(913) 645-3587

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 14, 2025

NPPES CertifiedMay 14, 2025

✔ NPI 1992596498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 178.021648

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

121 N LAKE DR, Atlanta, IL 61723

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Allen Heriford Lpc, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446767610

PECOS Enrollment IDI20250731000069

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.

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 Mark Heriford's NPI number?

The NPI number for Mark Heriford is 1992596498. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Mark Heriford located?

Mark Heriford practices at 121 N Lake Dr, Atlanta, IL 61723. The listed phone number is (913) 645-3587.

What is Mark Heriford's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mark Heriford enrolled in Medicare?

Yes. Mark Heriford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Heriford was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.