HEARTLAND COMMUNITY CHURCH, INC.
NPI 1063937845
Psychologist in Winter Haven, FL

Active since August 14, 2017
203 AVE A NW, SUITE 300, WINTER HAVEN, FL 33881(863) 299-7787(863) 299-7757 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2025, Aug 14, 2017 (2 updates tracked since 2017).

About Heartland Community Church, Inc. NPPES

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

HEARTLAND COMMUNITY CHURCH, INC. (NPI 1063937845), doing business as Heartland Counseling Center, is a healthcare organization registered as a psychologist in Winter Haven, Florida and active in the NPI registry since August 2017. The organization lists Robert Kirk Allison, Director, as its authorized official.

NPPES Registry Identity

NPI1063937845
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameHEARTLAND COMMUNITY CHURCH, INC.
Location Address203 AVE A NW, SUITE 300Winter Haven, FL 33881-4540
Mailing Address203 Ave A Nw, Suite 300Winter Haven, FL 33881-4540 · (863) 299-7787 · Fax (863) 299-7757
Fax(863) 299-7757
Organization SubpartNo
Authorized OfficialRobert Kirk AllisonDirector · (863) 299-7787
Enumeration DateAugust 14, 2017
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
✔ NPI 1063937845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY8924
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
203 AVE A NW, Winter Haven, FL 33881

Other Names 1

Doing Business AsHeartland Counseling Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heartland Community Church, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Heartland Community Church, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Psychologist
NPI 1518384742
203 AVENUE A NW STE 300
Winter Haven, FL 33881
(863) 299-7787
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1003366832
203 AVENUE A NW STE 300
Winter Haven, FL 33881
(863) 299-7787
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1821244344
203 AVENUE A NW STE 300
Winter Haven, FL 33881
(863) 299-7787
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1790227528
203 AVENUE A NW STE 300
Winter Haven, FL 33881
(863) 299-7787
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1235745258
203 AVENUE A NW STE 300
Winter Haven, FL 33881
(863) 299-7787
✔ PECOS✔ Accepts MedicareSame address

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

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 Heartland Community Church, Inc.'s NPI number?

The NPI number for Heartland Community Church, Inc. is 1063937845. It was assigned to this organization in the NPPES registry on August 14, 2017. The provider is doing business as Heartland Counseling Center.

Where is Heartland Community Church, Inc. located?

Heartland Community Church, Inc. is located at 203 Ave A NW Suite 300, Winter Haven, FL 33881. The listed phone number is (863) 299-7787.

What is Heartland Community Church, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Heartland Community Church, Inc. enrolled in Medicare?

Yes. Heartland Community Church, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heartland Community Church, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Heartland Community Church, Inc.. A 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 the clinician's services. The largest specialties are Mental Health Counselor (3) and Clinical Psychologist (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Heartland Community Church, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Heartland Community Church, Inc. 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 Heartland Community Church, Inc. was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.