HEATHER SUE BLEEKE PSYD
NPI 1467995035
Psychologist in Fort Wayne, IN

Active since November 29, 2016PECOS EnrolledAccepts Medicare Assignment
11143 PARKVIEW PLAZA DR STE 320, FORT WAYNE, IN 46845(260) 266-5370(260) 266-5379 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2025, Oct 1, 2024 (2 updates tracked since 2024).

About Heather Sue Bleeke Psyd NPPES

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

HEATHER SUE BLEEKE PSYD (NPI 1467995035) is an individual psychologist in Fort Wayne, Indiana, licensed in Indiana (20043888A) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467995035
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameHEATHER SUE BLEEKECredential: PSYD
Location Address11143 PARKVIEW PLAZA DR STE 320Fort Wayne, IN 46845-1728
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 266-5379
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 29, 2016
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1467995035 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 IN · 20043888A
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 39004254A (IN)
11143 PARKVIEW PLAZA DR STE 320, Fort Wayne, IN 46845

Other Names 1

Former Name (1)Miss Heather Sue Johnon Ma, Crc, Ccm

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 Sue Bleeke Psyd 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 ID1658718523
PECOS Enrollment IDI20250211001773
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Bleeke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
11141 PARKVIEW PLAZA DR STE 320
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 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 3

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

Psychologist (Clinical)
11143 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN 46845
Counselor (Mental Health)
11143 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN 46845
Nurse Practitioner
11143 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN 46845

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 Bleeke's NPI number?

The NPI number for Heather Bleeke is 1467995035. It was assigned to this individual provider in the NPPES registry on November 29, 2016. The provider is also known as Miss Heather Sue Johnon Ma, Crc, Ccm.

Where is Heather Bleeke located?

Heather Bleeke practices at 11143 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845. The listed phone number is (260) 266-5370.

What is Heather Bleeke's specialty?

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

Is Heather Bleeke enrolled in Medicare?

Yes. Heather Bleeke 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 organizations bill Medicare for Heather Bleeke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Bleeke reassigns Medicare benefits to 2 organizations: Parkview Health System, Inc. (Fort Wayne, IN) and Bowen Health Inc (Fort Wayne, IN). Each 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 Bleeke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Bleeke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Heather Bleeke 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 Bleeke was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.