HEIDI ROSELLE LPCC
NPI 1780133850
Counselor - Mental Health in Los Alamitos, CA

Active since September 29, 2016Opted out of Medicare · through Jan 18, 2028
4012 KATELLA AVE STE 105, LOS ALAMITOS, CA 90720(562) 584-7799 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2021, Sep 29, 2016 (2 updates tracked since 2016).

About Heidi Roselle Lpcc NPPES

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

HEIDI ROSELLE LPCC (NPI 1780133850) is an individual mental health provider in Los Alamitos, California, licensed in California (LPCC9161) and active in the NPI registry since September 2016. She has opted out of Medicare through January 18, 2028.

NPPES Registry Identity

NPI1780133850
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEIDI ROSELLECredential: LPCC
Location Address4012 KATELLA AVE STE 105Los Alamitos, CA 90720-3452
Mailing AddressPo Box 8083Long Beach, CA 90808-0083 · (562) 584-7799
Sole ProprietorNo
Enumeration DateSeptember 29, 2016
Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
NPI 1780133850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in CA · LPCC9161 Licensed in CA · PCCI2336
4012 KATELLA AVE STE 105, Los Alamitos, CA 90720

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Heidi Roselle Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 18, 2024 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2024
Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
4012 KATELLA AVE STE 105
LOS ALAMITOS, CA 90720

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 Heidi Roselle's NPI number?

The NPI number for Heidi Roselle is 1780133850. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Heidi Roselle located?

Heidi Roselle practices at 4012 Katella Ave Ste 105, Los Alamitos, CA 90720. The listed phone number is (562) 584-7799.

What is Heidi Roselle's specialty?

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

Is Heidi Roselle enrolled in Medicare?

No. Heidi Roselle has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Heidi Roselle was last updated on January 28, 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.