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DIANE JUDITH HERIBACKA LMFT
NPI 1700169752
Counselor - Mental Health in Titusville, FL

Active since September 26, 2011PECOS EnrolledAccepts Medicare Assignment
6700 S WASHINGTON AVE, TITUSVILLE, FL 32780(321) 722-5200 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2024, Aug 19, 2016 (2 updates tracked since 2016).

About Diane Judith Heribacka Lmft NPPES

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

DIANE JUDITH HERIBACKA LMFT (NPI 1700169752) is an individual mental health provider in Titusville, Florida, licensed in Florida (MT3289) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arcadia, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1700169752
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDIANE JUDITH HERIBACKACredential: LMFT
Location Address6700 S WASHINGTON AVETitusville, FL 32780-8050
Mailing Address400 Sheridan RdMelbourne, FL 32901-3122 · (321) 722-5200
Phone(321) 722-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 26, 2011
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1700169752 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 FL · MT3289
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 35001728A (IN)
6700 S WASHINGTON AVE, Titusville, FL 32780
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Secondary Practice Location 1

Location 1725 N 12th Ave Bldg BArcadia, FL 34266-8752 · Phone (863) 494-1242

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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

Diane Judith Heribacka Lmft 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 ID3577900919
PECOS Enrollment IDI20240321001660
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

3

Medicare enrollment records show Diane Heribacka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balanced Wellbeing LLC
95 mi
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
NPI 1336513639 (352) 445-1200
Mcr Health, Inc.
119 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050
Coastal Community Health Services, Inc.
152 mi
Federally Qualified Health Center (FQHC)
22385 FLORA PARK CROSSING DRIVE
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
  • 93 clinicians in this Medicare group
NPI 1851131874 (904) 404-8641

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
356 services95 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
125 services52 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
40 services40 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services18 patients

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.

MR. DANIEL J. RESH JR. LMHC
Counselor (Mental Health)
6700 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 269-4590
MRS. MARY BETH GOODMAN LPC
Counselor (Mental Health)
6700 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 722-5200
PAULA SUMNER LMHC
Counselor (Mental Health)
6700 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 269-4590
PATRICIA LOCHNICHT LMHC
Counselor (Mental Health)
6700 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 269-4590
CIRCLES OF CARE, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
6700 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 269-4590
REMIGIO C. VILLEGAS JR. M.D.
Psychiatry & Neurology (Psychiatry)
6700 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 722-5200

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 Diane Heribacka's NPI number?

The NPI number for Diane Heribacka is 1700169752. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Where is Diane Heribacka located?

Diane Heribacka practices at 6700 S Washington Ave, Titusville, FL 32780. The listed phone number is (321) 722-5200.

What is Diane Heribacka's specialty?

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

Is Diane Heribacka enrolled in Medicare?

Yes. Diane Heribacka 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 Diane Heribacka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Heribacka reassigns Medicare benefits to 3 organizations: Balanced Wellbeing LLC (Ocala, FL), Mcr Health, Inc. (Parrish, FL) and Coastal Community Health Services, Inc. (Fernandina Beach, FL). 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 Diane Heribacka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Heribacka accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Diane Heribacka 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 Diane Heribacka was last updated on May 14, 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.