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HEATHER BEERY LLC
NPI 1093587354
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bloomington, IN

Active since October 30, 2023
3100 E JOHN HINKLE PL STE 102, BLOOMINGTON, IN 47408(812) 345-0125 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2025, Oct 30, 2023 (2 updates tracked since 2023).

About Heather Beery Llc NPPES

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

HEATHER BEERY LLC (NPI 1093587354) is a healthcare organization registered as a mental health (including community mental health center) in Bloomington, Indiana and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Bloomington and lists Heather Beery, Owner, as its authorized official.

NPPES Registry Identity

NPI1093587354
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHEATHER BEERY LLC
Location Address3100 E JOHN HINKLE PL STE 102Bloomington, IN 47408-2611
Mailing Address2435 N Mount Gilead RdBloomington, IN 47408-9207 · (812) 345-0125
Phone(812) 345-0125
Organization SubpartNo
Authorized OfficialHeather BeeryOwner · (812) 345-0125
Enumeration DateOctober 30, 2023
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1093587354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3100 E JOHN HINKLE PL STE 102, Bloomington, IN 47408
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Secondary Practice Location 1

Location 12435 N Mount Gilead RdBloomington, IN 47408-9207 · Phone (812) 345-0125

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Beery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Heather Beery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heather Beery, LCSW
Clinical Social Worker
NPI 1063081479
3100 E JOHN HINKLE PL STE 102
Bloomington, IN 47408
(812) 345-0125
✔ 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 Heather Beery LLC's NPI number?

The NPI number for Heather Beery LLC is 1093587354. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Heather Beery LLC located?

Heather Beery LLC is located at 3100 E John Hinkle Pl Ste 102, Bloomington, IN 47408. The listed phone number is (812) 345-0125.

What is Heather Beery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Heather Beery LLC enrolled in Medicare?

Yes. Heather Beery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heather Beery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Heather Beery LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heather Beery LLC was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.