HEAVENLY THERAPEUTIC SERVICES LLC
NPI 1184025587
Counselor - Professional in Fayetteville, GA
About Heavenly Therapeutic Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEAVENLY THERAPEUTIC SERVICES LLC (NPI 1184025587) is a healthcare organization registered as a professional in Fayetteville, Georgia and active in the NPI registry since September 2014. The organization lists Fredric Darnell Blocker, Lpc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heavenly Therapeutic Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Heavenly Therapeutic Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Heavenly Therapeutic Services LLC's NPI number?
The NPI number for Heavenly Therapeutic Services LLC is 1184025587. It was assigned to this organization in the NPPES registry on September 4, 2014.
Where is Heavenly Therapeutic Services LLC located?
Heavenly Therapeutic Services LLC is located at 110 Habersham Dr Ste 116, Fayetteville, GA 30214. The listed phone number is (770) 946-2312.
What is Heavenly Therapeutic Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Heavenly Therapeutic Services LLC enrolled in Medicare?
Yes. Heavenly Therapeutic Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heavenly Therapeutic Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Heavenly Therapeutic Services LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Heavenly Therapeutic Services LLC was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Heavenly Therapeutic Services Llc · NPI 1184025587
Professional organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since September 4, 2014.
## Identity
- **NPI:** 1184025587 (Entity type: Organization)
- **Enumerated:** September 4, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Fredric Blocker, LPC
## Practice location
- **Address:** 110 HABERSHAM DR, STE 116, Fayetteville, GA 30214-1381
- **Phone:** (770) 946-2312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1184025587) · Data from the CMS NPPES public registry.