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NICOLE HEFFRON, LLC
NPI 1639307622
Psychologist - Clinical in Saint Paul, MN

Active since June 29, 2009
889 GRAND AVE, SUITE 202, SAINT PAUL, MN 55105(651) 224-1541(651) 224-3501 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Heffron, Llc NPPES

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

NICOLE HEFFRON, LLC (NPI 1639307622) is a healthcare organization registered as a clinical in Saint Paul, Minnesota and active in the NPI registry since June 2009. The organization lists Nicole Englund Heffron, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1639307622
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameNICOLE HEFFRON, LLC
Location Address889 GRAND AVE, SUITE 202Saint Paul, MN 55105-3008
Mailing Address889 Grand Ave, Suite 202Saint Paul, MN 55105-3008 · (651) 224-1541 · Fax (651) 224-3501
Phone(651) 224-1541
Fax(651) 224-3501
Organization SubpartNo
Authorized OfficialNicole Englund HeffronLicensed Psychologist · (651) 224-1541
Enumeration DateJune 29, 2009
✔ NPI 1639307622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP 4508
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
889 GRAND AVE, Saint Paul, MN 55105
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Other Identifiers 3

Medicaid148445100MN
Other572G1ENMN · Blue Cross Blue Sheild
Medicare UPIN680002182MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Heffron, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicole Heffron, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicole Heffron, NICOLE HEFFRON
Clinical Psychologist
NPI 1831102839
23 4TH ST SE STE 216
Minneapolis, MN 55414
(651) 224-1541
✔ PECOS6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicole Heffron, LLC's NPI number?

The NPI number for Nicole Heffron, LLC is 1639307622. It was assigned to this organization in the NPPES registry on June 29, 2009.

Where is Nicole Heffron, LLC located?

Nicole Heffron, LLC is located at 889 Grand Ave Suite 202, Saint Paul, MN 55105. The listed phone number is (651) 224-1541.

What is Nicole Heffron, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Heffron, LLC enrolled in Medicare?

Yes. Nicole Heffron, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicole Heffron, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Nicole Heffron, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Heffron, LLC was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.