JESSICA ROSE HEANEY
NPI 1700498078
Marriage & Family Therapist in Santa Rosa, CA

Active since August 18, 2020PECOS Enrolled
101 WIKIUP DR, SANTA ROSA, CA 95403(510) 317-1444 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 24, 2025, Apr 12, 2022, Aug 18, 2020 (3 updates tracked since 2020).

About Jessica Rose Heaney NPPES

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

JESSICA ROSE HEANEY (NPI 1700498078) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (154593) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1700498078
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA ROSE HEANEY
Location Address101 WIKIUP DRSanta Rosa, CA 95403-1375
Mailing Address8945 Golf Links RdOakland, CA 94605-4124
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 18, 2020
Last NPPES UpdateDecember 24, 20253 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
NPI 1700498078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 154593 Licensed in CA · 132253
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.
101 WIKIUP DR, Santa Rosa, CA 95403

Secondary Practice Location 1

Location 12447 Summerfield RdSanta Rosa, CA 95405-7815 · Phone (888) 729-0012

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Rose Heaney is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395213417
PECOS Enrollment IDI20260507000929
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.

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
101 WIKIUP DR, SUITE A
SANTA ROSA, CA 95403
Physical Therapist
101 WIKIUP DR, SUITE B
SANTA ROSA, CA 95403
Assistant Behavior Analyst
101 WIKIUP DR
SANTA ROSA, CA 95403
Assistant Behavior Analyst
101 WIKIUP DR
SANTA ROSA, CA 95403
Marriage & Family Therapist
101 WIKIUP DR
SANTA ROSA, CA 95403
Physical Therapist
101 WIKIUP DR, SUITE B
SANTA ROSA, CA 95403
Counselor (Mental Health)
101 WIKIUP DR
SANTA ROSA, CA 95403
Assistant Behavior Analyst
101 WIKIUP DR
SANTA ROSA, CA 95403

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 Jessica Heaney's NPI number?

The NPI number for Jessica Heaney is 1700498078. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Jessica Heaney located?

Jessica Heaney practices at 101 Wikiup Dr, Santa Rosa, CA 95403. The listed phone number is (510) 317-1444.

What is Jessica Heaney's specialty?

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

Is Jessica Heaney enrolled in Medicare?

Yes. Jessica Heaney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Heaney was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.