KIMBERLY VANESSA HEFFRON-REITZEL MA, LP
NPI 1366578023
Psychologist in Andover, MN

Active since February 26, 2007PECOS Enrolled
1875 STATION PKWY NW, ANDOVER, MN 55304(763) 482-9598(612) 235-6447 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 25, 2019, Aug 1, 2018 (2 updates tracked since 2018).

About Kimberly Vanessa Heffron-reitzel Ma, Lp NPPES

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

KIMBERLY VANESSA HEFFRON-REITZEL MA, LP (NPI 1366578023) is an individual psychologist in Andover, Minnesota, licensed in Minnesota (LP5194) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366578023
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIMBERLY VANESSA HEFFRON-REITZELCredential: MA, LP
Location Address1875 STATION PKWY NWAndover, MN 55304-3319
Mailing Address1875 Station Pkwy NwAndover, MN 55304-3319 · (763) 482-9598 · Fax (612) 235-6447
Fax(612) 235-6447
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 25, 20192 updates tracked since enumeration
NPI 1366578023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP5194
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LP5194 (MN)
1875 STATION PKWY NW, Andover, MN 55304

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Vanessa Heffron-reitzel Ma, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Social Worker (Clinical)
1875 STATION PKWY NW
ANDOVER, MN 55304

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 Kimberly Heffron-reitzel's NPI number?

The NPI number for Kimberly Heffron-reitzel is 1366578023. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Kimberly Heffron-reitzel located?

Kimberly Heffron-reitzel practices at 1875 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 482-9598.

What is Kimberly Heffron-reitzel's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kimberly Heffron-reitzel enrolled in Medicare?

Yes. Kimberly Heffron-reitzel is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Heffron-reitzel accept?

Health plans from HealthPartners list Kimberly Heffron-reitzel 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 Kimberly Heffron-reitzel was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.