MRS. GRETE ANTONIA HEATHERLY LPCC-S
NPI 1295007409
Counselor - Professional in Alliance, OH

Q: What is Grete Heatherly's NPI number?

The NPI number for Grete Heatherly is 1295007409. It was assigned to this individual provider in the NPPES registry on February 2, 2012.

Q: What is Grete Heatherly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Grete Heatherly was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 02, 2012PECOS EnrolledAccepts Medicare Assignment

1207 W STATE ST STE M, ALLIANCE, OH 44601(330) 821-8407(330) 821-8506 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Apr 26, 2021, Feb 28, 2017 (3 updates tracked since 2017).

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About Mrs. Grete Antonia Heatherly Lpcc-s NPPES

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

MRS. GRETE ANTONIA HEATHERLY LPCC-S (NPI 1295007409) is an individual professional provider in Alliance, Ohio, licensed in Ohio (E.1100472-SUPV) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295007409

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. GRETE ANTONIA HEATHERLYCredential: LPCC-S

Location Address1207 W STATE ST STE MAlliance, OH 44601-4686

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 821-8407

Fax(330) 821-8506

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 2, 2012

Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1295007409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E.1100472-SUPV

1207 W STATE ST STE M, Alliance, OH 44601

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Other Identifiers 1

Medicaid0182192OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Grete Antonia Heatherly Lpcc-s 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 ID1850741893

PECOS Enrollment IDI20240103001380

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.

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.

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