MR. MICHAEL K. O'HEARN LCSW
NPI 1730169913
Social Worker - Clinical in Santa Fe, NM

Active since January 23, 2006PECOS Enrolled
1862 PLAZA DEL SUR DR APT 147, SANTA FE, NM 87505(513) 766-2496 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2024, Apr 24, 2024 (2 updates tracked since 2024).

About Mr. Michael K. O'hearn Lcsw NPPES

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

MR. MICHAEL K. O'HEARN LCSW (NPI 1730169913) is an individual clinical provider in Santa Fe, New Mexico, licensed in Ohio (I.0007335-SUPV) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730169913
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL K. O'HEARNCredential: LCSW
Location Address1862 PLAZA DEL SUR DR APT 147Santa Fe, NM 87505-6046
Mailing Address1862 Plaza Del Sur Dr Apt 147Santa Fe, NM 87505-6046 · (505) 955-9454 · Fax (505) 216-9067
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1730169913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OH · I.0007335-SUPV✔ Licensed in NM · SWB-2023-0525✔ Licensed in CA · 98193
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1.0007335 (OH)
1862 PLAZA DEL SUR DR APT 147, Santa Fe, NM 87505

Other Identifiers 1

Other250935UBSOH · United Behavioral Health

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael K. O'hearn Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael O'hearn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
649 HARKLE RD STE E
Santa Fe, NM 87505
  • Reassigned Medicare billing, New Mexico enrollment
  • 43 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michael O'hearn's NPI number?

The NPI number for Michael O'hearn is 1730169913. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Michael O'hearn located?

Michael O'hearn practices at 1862 Plaza Del Sur Dr Apt 147, Santa Fe, NM 87505. The listed phone number is (513) 766-2496.

What is Michael O'hearn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael O'hearn enrolled in Medicare?

Yes. Michael O'hearn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael O'hearn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael O'hearn reassigns Medicare benefits to Southwest Care Center (Santa Fe, NM). 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 Michael O'hearn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael O'hearn accept?

Health plans from CareSource list Michael O'hearn 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 Michael O'hearn was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.