ANNELISE P HEITMAN LMFT
NPI 1508173360
Marriage & Family Therapist in Eugene, OR

Active since August 31, 2010Opted out of Medicare · through Dec 16, 2026
401 E 10TH AVE, SUITE 330, EUGENE, OR 97401(541) 868-2004 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annelise P Heitman Lmft NPPES

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

ANNELISE P HEITMAN LMFT (NPI 1508173360) is an individual marriage & family therapist in Eugene, Oregon, licensed in Oregon (T0723) and active in the NPI registry since August 2010. She has opted out of Medicare through December 16, 2026.

NPPES Registry Identity

NPI1508173360
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANNELISE P HEITMANCredential: LMFT
Location Address401 E 10TH AVE, SUITE 330Eugene, OR 97401-3317
Mailing Address1672 Wilson CtEugene, OR 97402-3361
Sole ProprietorYes
Enumeration DateAugust 31, 2010
NPI 1508173360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in OR · T0723
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.
401 E 10TH AVE, Eugene, OR 97401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Annelise P Heitman Lmft 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 December 16, 2024 through December 16, 2026.

Opt-Out Effective DateDecember 16, 2024
Opt-Out In Effect ThroughDecember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

Dentist
401 E 10TH AVE, SUITE 210
EUGENE, OR 97401
Audiologist-Hearing Aid Fitter
401 E 10TH AVE, SUITE 110
EUGENE, OR 97401
Chiropractor
401 E 10TH AVE, SUITE 320
EUGENE, OR 97401
Family Medicine
401 E 10TH AVE, SUITE 250
EUGENE, OR 97401
Chiropractor
401 E 10TH AVE, SUITE 400
EUGENE, OR 97401
Optometrist
401 E 10TH AVE, SUITE 160
EUGENE, OR 97401
Audiologist-Hearing Aid Fitter
401 E 10TH AVE, SUITE 110
EUGENE, OR 97401
Specialist
401 E 10TH AVE, SUITE 200
EUGENE, OR 97401

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 Annelise Heitman's NPI number?

The NPI number for Annelise Heitman is 1508173360. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Annelise Heitman located?

Annelise Heitman practices at 401 E 10th Ave Suite 330, Eugene, OR 97401. The listed phone number is (541) 868-2004.

What is Annelise Heitman's specialty?

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

Is Annelise Heitman enrolled in Medicare?

No. Annelise Heitman has opted out of Medicare through December 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Annelise Heitman was last updated on August 31, 2010. 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.