1. Home
  2. Directory
  3. Alabama
  4. Madison
  5. Community Behavioral Health
  6. NPI Profile

HEATHER SURBER LICSW LLC
NPI 1699442764
Community/Behavioral Health in Madison, AL

Active since August 26, 2021
9238 MADISON BLVD STE 116, MADISON, AL 35758(256) 542-3288(256) 542-3289 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heather Surber Licsw Llc NPPES

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

HEATHER SURBER LICSW LLC (NPI 1699442764) is a healthcare organization registered as a community/behavioral health in Madison, Alabama and active in the NPI registry since August 2021. The organization lists Heather Lynn Surber, Owner, as its authorized official.

NPPES Registry Identity

NPI1699442764
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHEATHER SURBER LICSW LLC
Location Address9238 MADISON BLVD STE 116Madison, AL 35758-9112
Mailing Address9238 Madison Blvd Ste 116Madison, AL 35758-9112 · (256) 542-3288 · Fax (256) 542-3289
Phone(256) 542-3288
Fax(256) 542-3289
Organization SubpartNo
Authorized OfficialHeather Lynn SurberOwner · (256) 542-3288
Enumeration DateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1699442764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
9238 MADISON BLVD STE 116, Madison, AL 35758
Open in Google Maps ↗

Other Names 1

Other NameHeather Surber Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Surber Licsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20211105000990Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Heather Surber Licsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heather Surber, LCSW
Clinical Social Worker
NPI 1467580688
9238 MADISON BLVD STE 116
Madison, AL 35758
(256) 542-3288
✔ PECOS✔ Accepts MedicareSame address

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 Heather Surber Licsw LLC's NPI number?

The NPI number for Heather Surber Licsw LLC is 1699442764. It was assigned to this organization in the NPPES registry on August 26, 2021. The provider is also known as Heather Surber LCSW.

Where is Heather Surber Licsw LLC located?

Heather Surber Licsw LLC is located at 9238 Madison Blvd Ste 116, Madison, AL 35758. The listed phone number is (256) 542-3288.

What is Heather Surber Licsw LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Heather Surber Licsw LLC enrolled in Medicare?

Yes. Heather Surber Licsw LLC is registered in the Medicare PECOS enrollment system.

When is Heather Surber Licsw LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Heather Surber Licsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Heather Surber Licsw 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 Heather Surber Licsw LLC was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.