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RACHELLE NICOLE HELLER LCSW
NPI 1013569359
Social Worker - Clinical in New Bern, NC

Active since July 16, 2019PECOS Enrolled
527 DAKOTA AVE, NEW BERN, NC 28560(570) 899-5336 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2026, Aug 13, 2026, Jun 2, 2026 and 3 more (6 updates tracked since 2019).

About Rachelle Nicole Heller Lcsw NPPES

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

RACHELLE NICOLE HELLER LCSW (NPI 1013569359) is an individual clinical provider in New Bern, North Carolina, licensed in North Carolina (C014512) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013569359
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRACHELLE NICOLE HELLERCredential: LCSW
Location Address527 DAKOTA AVENew Bern, NC 28560-2400
Mailing Address527 Dakota AveNew Bern, NC 28560-2400 · (570) 899-5336
Phone(570) 899-5336
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 16, 2019
Last NPPES UpdateAugust 25, 20266 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1013569359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C014512✔ Licensed in MA · LICSW1144510✔ Licensed in ME · LC25972✔ Licensed in VA · 0904020413✔ Licensed in ID · 9981502
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
527 DAKOTA AVE, New Bern, NC 28560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachelle Nicole Heller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638514821
PECOS Enrollment IDI20260608001196
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rachelle Heller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Resilient Roots Counseling PLLC
Same address
Clinical
527 DAKOTA AVE
New Bern, NC 28560
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1689594939 (570) 899-5336
Grow Healthcare Group PA
672 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, Idaho and North Carolina enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28560 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESILIENT ROOTS COUNSELING PLLC
Social Worker (Clinical)
527 DAKOTA AVE
NEW BERN, NC 28560
Craven County (570) 899-5336

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 Rachelle Heller's NPI number?

The NPI number for Rachelle Heller is 1013569359. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Rachelle Heller located?

Rachelle Heller practices at 527 Dakota Ave, New Bern, NC 28560. The listed phone number is (570) 899-5336.

What is Rachelle Heller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rachelle Heller enrolled in Medicare?

Yes. Rachelle Heller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachelle Heller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Heller reassigns Medicare benefits to 2 organizations: Resilient Roots Counseling PLLC (New Bern, NC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachelle Heller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachelle Heller accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Cigna Healthcare, Harvard Pilgrim Health Care and Oscar Health and 2 other insurers list Rachelle Heller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rachelle Heller was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.