HEALING REFLECTIONS, PLLC
NPI 1104496678
Social Worker - Clinical in Southern Pines, NC
About Healing Reflections, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALING REFLECTIONS, PLLC (NPI 1104496678) is a healthcare organization registered as a clinical in Southern Pines, North Carolina and active in the NPI registry since June 2021. The organization lists Jessica Grider, Lcsw, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healing Reflections, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Healing Reflections, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Healing Reflections, PLLC's NPI number?
The NPI number for Healing Reflections, PLLC is 1104496678. It was assigned to this organization in the NPPES registry on June 28, 2021.
Where is Healing Reflections, PLLC located?
Healing Reflections, PLLC is located at 350 Shaw Ave, Southern Pines, NC 28387. The listed phone number is (910) 580-8280.
What is Healing Reflections, PLLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Healing Reflections, PLLC enrolled in Medicare?
Yes. Healing Reflections, PLLC is registered in the Medicare PECOS enrollment system.
When is Healing Reflections, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Healing Reflections, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Healing Reflections, PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Healing Reflections, PLLC was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Healing Reflections, Pllc · NPI 1104496678
Clinical organization in Southern Pines, North Carolina. Organization record, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1104496678 (Entity type: Organization)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Jessica Grider, LCSW
## Practice location
- **Address:** 350 SHAW AVE, Southern Pines, NC 28387-6237
- **Phone:** (910) 580-8280 · **Fax:** (910) 304-5633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2024
- **Other identifiers:** Other M148 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1104496678) · Data from the CMS NPPES public registry.