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KATHERINE HEATON LMFT
NPI 1124723911
Marriage & Family Therapist in Simi Valley, CA

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
3209 HEREFORD CT, SIMI VALLEY, CA 93063(805) 427-2853 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katherine Heaton Lmft NPPES

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

KATHERINE HEATON LMFT (NPI 1124723911) is an individual marriage & family therapist in Simi Valley, California, licensed in California (120231) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124723911
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHERINE HEATONCredential: LMFT
Location Address3209 HEREFORD CTSimi Valley, CA 93063-1325
Mailing Address3290 Hereford CtSimi Valley, CA 93063-1325 · (805) 427-2853
Phone(805) 427-2853
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2023
NPPES CertifiedApril 2, 2023
✔ NPI 1124723911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 120231
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3209 HEREFORD CT, Simi Valley, CA 93063
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Heaton Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678077823
PECOS Enrollment IDI20250919001286
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 Katherine Heaton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
282 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 Katherine Heaton's NPI number?

The NPI number for Katherine Heaton is 1124723911. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Katherine Heaton located?

Katherine Heaton practices at 3209 Hereford Ct, Simi Valley, CA 93063. The listed phone number is (805) 427-2853.

What is Katherine Heaton's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Katherine Heaton enrolled in Medicare?

Yes. Katherine Heaton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katherine Heaton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Heaton reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The 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 Katherine Heaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Heaton was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.