LORI HEAGERTY LMFT
NPI 1174063556
Marriage & Family Therapist in Lakeport, CA
About Lori Heagerty Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORI HEAGERTY LMFT (NPI 1174063556) is an individual marriage & family therapist in Lakeport, California, licensed in California (MM19486) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lori Heagerty Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lori Heagerty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Placentia, CA 92870
- Reassigned Medicare billing, California enrollment
- 150 clinicians in this Medicare group
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.
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 Lori Heagerty's NPI number?
The NPI number for Lori Heagerty is 1174063556. It was assigned to this individual provider in the NPPES registry on March 3, 2017.
Where is Lori Heagerty located?
Lori Heagerty practices at 1152 S Main St, Lakeport, CA 95453. The listed phone number is (707) 263-8795.
What is Lori Heagerty's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Lori Heagerty enrolled in Medicare?
Yes. Lori Heagerty is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lori Heagerty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lori Heagerty reassigns Medicare benefits to Forward Wellness Family Therapy, Inc. (Placentia, 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 Lori Heagerty'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 Lori Heagerty was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Lori Heagerty, LMFT · NPI 1174063556
Marriage & Family Therapist provider in Lakeport, California. Individual provider, active in the CMS NPPES registry since March 3, 2017.
## Identity
- **NPI:** 1174063556 (Entity type: Individual)
- **Enumerated:** March 3, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MM19486 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1152 S MAIN ST, Lakeport, CA 95453-5517
- **Phone:** (707) 263-8795
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Forward Wellness Family Therapy, Inc. (NPI 1093398059, Placentia, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1174063556) · Data from the CMS NPPES public registry.