HEATHER HEIDE
NPI 1417205436
Marriage & Family Therapist in Burnsville, MN

Q: What is Heather Heide's NPI number?

The NPI number for Heather Heide is 1417205436. It was assigned to this individual provider in the NPPES registry on August 23, 2012.

Q: What is Heather Heide's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Heather Heide enrolled in Medicare?

No. Heather Heide has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Heather Heide was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 23, 2012Opted out of Medicare · through Jan 1, 2028

14750 LAC LAVON DR, BURNSVILLE, MN 55306(952) 894-7722 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 9, 2022, Jul 17, 2018 (2 updates tracked since 2018).

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About Heather Heide NPPES

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

HEATHER HEIDE (NPI 1417205436) is an individual marriage & family therapist in Burnsville, Minnesota and active in the NPI registry since August 2012. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1417205436

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameHEATHER HEIDE

Location Address14750 LAC LAVON DRBurnsville, MN 55306

Mailing Address2875 Jordan Ave S, #203Minnetonka, MN 55305-3516

Phone(952) 894-7722

Sole ProprietorYes

Enumeration DateAugust 23, 2012

Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration

NPPES CertifiedAugust 9, 2022

✔ NPI 1417205436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

14750 LAC LAVON DR, Burnsville, MN 55306

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Heather Heide has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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