TORI LAUREN HEISSE LCSW
NPI 1104549419
Social Worker - Clinical in Jacksonville, FL

Q: What is Tori Heisse's NPI number?

The NPI number for Tori Heisse is 1104549419. It was assigned to this individual provider in the NPPES registry on September 21, 2022. The provider is also known as Tori Lauren Evans Msw Lsw.

Q: What is Tori Heisse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tori Heisse was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 21, 2022PECOS Enrolled

2055 REYKO RD STE 100, JACKSONVILLE, FL 32207(904) 648-8200(904) 253-3270 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, May 22, 2023, Sep 21, 2022 (3 updates tracked since 2022).

On this page

About Tori Lauren Heisse Lcsw NPPES

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

TORI LAUREN HEISSE LCSW (NPI 1104549419) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW26788) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104549419

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTORI LAUREN HEISSECredential: LCSW

Location Address2055 REYKO RD STE 100Jacksonville, FL 32207-2828

Mailing Address2055 Reyko Rd Ste 100Jacksonville, FL 32207-2828 · (904) 648-8200 · Fax (904) 253-3270

Phone(904) 648-8200

Fax(904) 253-3270

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 21, 2022

Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1104549419 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 FL · SW26788✔ Licensed in OH · S.2208472

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.

2055 REYKO RD STE 100, Jacksonville, FL 32207

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Other Names 1

Former Name (1)Tori Lauren Evans Msw Lsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tori Lauren Heisse Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466918909

PECOS Enrollment IDI20260726000104

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 Tori Heisse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lehigh Acres Bg Opco LLC

255 mi

Assisted Living Facility

1251 BUSINESS WAY
Lehigh Acres, FL 33936

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Dna Comprehensive Therapy Services LLC
618 clinicians in this Medicare group

NPI 1760939813 (239) 368-2500

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 32207 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 $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 20

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

BELINDA FRANCOIS LMHC

Counselor (Mental Health)