Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VICTORIA G HEGINBOTTOM
NPI 1093630782
Counselor - Professional in Lees Summit, MO

Q: What is Victoria Heginbottom's NPI number?

The NPI number for Victoria Heginbottom is 1093630782. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Q: What is Victoria Heginbottom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since August 11, 2026PECOS Enrolled

1272 NE WINDSOR DR, LEES SUMMIT, MO 64086(816) 246-4465(816) 524-7008 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Victoria G Heginbottom NPPES

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

VICTORIA G HEGINBOTTOM (NPI 1093630782) is an individual professional provider in Lees Summit, Missouri, licensed in Missouri (2026038737) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093630782

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameVICTORIA G HEGINBOTTOM

Location Address1272 NE WINDSOR DRLees Summit, MO 64086-5594

Mailing Address1272 Ne Windsor DrLees Summit, MO 64086-5594 · (816) 246-4465 · Fax (816) 524-7008

Phone(816) 246-4465

Fax(816) 524-7008

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 11, 2026

NPPES CertifiedAugust 11, 2026

✔ NPI 1093630782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2026038737

1272 NE WINDSOR DR, Lees Summit, MO 64086

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria G Heginbottom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800354085

PECOS Enrollment IDI20260818003148

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 Reassignment

Medicare enrollment records show Victoria Heginbottom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healing Grace Ministries, Inc

Same address

Professional

1272 NE WINDSOR DR
Lees Summit, MO 64086

Reassigned Medicare billing, Missouri enrollment
32 clinicians in this Medicare group

NPI 1346417706 (623) 238-2296

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

Other Providers at the Same Location NPPES 20

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

MEGAN ELIZABETH DEAVER

Counselor (Professional)