HEATHER M PINEDA LMSW
NPI 1770232852
Social Worker - Clinical in Traverse City, MI
About Heather M Pineda Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER M PINEDA LMSW (NPI 1770232852) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801118039) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Heather M Pineda Lmsw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Pineda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 261 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 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVERSE CITY, MI 49684
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 Pineda's NPI number?
The NPI number for Heather Pineda is 1770232852. It was assigned to this individual provider in the NPPES registry on March 23, 2022.
Where is Heather Pineda located?
Heather Pineda practices at 207 Circle Dr, Traverse City, MI 49684. The listed phone number is (616) 682-7062.
What is Heather Pineda's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Heather Pineda enrolled in Medicare?
Yes. Heather Pineda 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 Heather Pineda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Pineda reassigns Medicare benefits to 2 organizations: Heather Pineda, Lcsw PLLC (Traverse City, MI) and Pine Rest Christian Mental Health Services (Grand Rapids, MI). 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 Heather Pineda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Pineda accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Heather Pineda 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 Heather Pineda was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Heather M Pineda, LMSW · NPI 1770232852
Clinical provider in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1770232852 (Entity type: Individual)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801118039 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 207 CIRCLE DR, Traverse City, MI 49684-2347
- **Phone:** (616) 682-7062
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Heather Pineda, Lcsw PLLC (NPI 1972497139, Traverse City, MI); Pine Rest Christian Mental Health Services (NPI 1922019157, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770232852) · Data from the CMS NPPES public registry.