HEATHER H DOUGLAS MS, CTRS,LPC
NPI 1265714992
Counselor - Professional in Madison, WI
About Heather H Douglas Ms, Ctrs,lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER H DOUGLAS MS, CTRS,LPC (NPI 1265714992) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (475-226) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Heather H Douglas Ms, Ctrs,lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53719
- Reassigned Medicare billing, Wisconsin enrollment
- 19 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53719
MADISON, WI 53719
MADISON, WI 53719
MADISON, WI 53719
MADISON, WI 53719
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 Heather Douglas's NPI number?
The NPI number for Heather Douglas is 1265714992. It was assigned to this individual provider in the NPPES registry on September 20, 2011.
Where is Heather Douglas located?
Heather Douglas practices at 6502 Grand Teton Plz Suite 203, Madison, WI 53719. The listed phone number is (608) 827-7220.
What is Heather Douglas's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Heather Douglas enrolled in Medicare?
Yes. Heather Douglas 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 Heather Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Douglas reassigns Medicare benefits to Open Door Center For Change LLC (Madison, WI). 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 Heather Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Douglas accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, Quartz and UnitedHealthcare list Heather Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Heather Douglas was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Heather H Douglas, MS, CTRS,LPC · NPI 1265714992
Professional provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since September 20, 2011.
## Identity
- **NPI:** 1265714992 (Entity type: Individual)
- **Enumerated:** September 20, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 475-226 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6502 GRAND TETON PLZ, SUITE 203, Madison, WI 53719-1047
- **Phone:** (608) 827-7220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Open Door Center For Change LLC (NPI 1215068069, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** September 20, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1265714992) · Data from the CMS NPPES public registry.