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MRS. KATHY WORTHY HEATLEY LCMHC
NPI 1609311174
Counselor - Mental Health in Charlotte, NC

Active since December 19, 2016PECOS EnrolledAccepts Medicare Assignment
2701 STATESVILLE AVE, CHARLOTTE, NC 28206(980) 302-8521(980) 302-8525 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2024, Dec 19, 2016 (2 updates tracked since 2016).

About Mrs. Kathy Worthy Heatley Lcmhc NPPES

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

MRS. KATHY WORTHY HEATLEY LCMHC (NPI 1609311174) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (10570) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1609311174
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KATHY WORTHY HEATLEYCredential: LCMHC
Location Address2701 STATESVILLE AVECharlotte, NC 28206
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(980) 302-8521
Fax(980) 302-8525
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 19, 2016
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1609311174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 10570
Also ListedCounselorTaxonomy 101Y00000X · License 10570 (NC)
2701 STATESVILLE AVE, Charlotte, NC 28206
Open in Google Maps ↗

Secondary Practice Location 1

Location 11517 Copperplate RdCharlotte, NC 28262-6437 · Phone (704) 907-7856

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.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

Mrs. Kathy Worthy Heatley Lcmhc 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 ID1951741016
PECOS Enrollment IDI20240506004808
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 Reassignment

Medicare enrollment records show Kathy Heatley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC
Same address
Cardiovascular Disease
2701 STATESVILLE AVE
Charlotte, NC 28206
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1447824065 (704) 384-0500

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 6

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

JENNIFER JOY PERRY FNP
Nurse Practitioner
2701 STATESVILLE AVE
CHARLOTTE, NC 28206
Mecklenburg County (980) 302-8521
HELEN SAENZ
Family Medicine
2701 STATESVILLE AVE
CHARLOTTE, NC 28206
Mecklenburg County (980) 302-8521
WILLIAM BARTON TAYLOR M.D.
Family Medicine
2701 STATESVILLE AVE
CHARLOTTE, NC 28206
Mecklenburg County (980) 302-8521
NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
2701 STATESVILLE AVE
CHARLOTTE, NC 28206
Mecklenburg County (704) 384-0500
DR. PAMELA ANN JOHNSON M.D.
Pediatrics
2701 STATESVILLE AVE
CHARLOTTE, NC 28206
Mecklenburg County (980) 302-8521
DAVID STANFORD BAKER III MD
Family Medicine
2701 STATESVILLE AVE
CHARLOTTE, NC 28206
Mecklenburg County (980) 302-8521

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 Kathy Heatley's NPI number?

The NPI number for Kathy Heatley is 1609311174. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Where is Kathy Heatley located?

Kathy Heatley practices at 2701 Statesville Ave, Charlotte, NC 28206. The listed phone number is (980) 302-8521.

What is Kathy Heatley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathy Heatley enrolled in Medicare?

Yes. Kathy Heatley 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 organization bills Medicare for Kathy Heatley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Heatley reassigns Medicare benefits to Novant Health Medical Group, LLC (Charlotte, NC). The 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 Kathy Heatley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Heatley accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Kathy Heatley 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 Kathy Heatley was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.