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MALLORY DIANE HEISE LAC
NPI 1801358650
Counselor - Addiction (Substance Use Disorder) in Colorado Springs, CO

Active since April 02, 2019PECOS Enrolled
220 RUSKIN DR, COLORADO SPRINGS, CO 80910(719) 314-4277 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Diane Heise Lac NPPES

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

MALLORY DIANE HEISE LAC (NPI 1801358650) is an individual addiction (substance use disorder) provider in Colorado Springs, Colorado and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1801358650
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMALLORY DIANE HEISECredential: LAC
Location Address220 RUSKIN DRColorado Springs, CO 80910-2522
Mailing Address220 Ruskin DrColorado Springs, CO 80910-2522 · (719) 314-4277
Phone(719) 314-4277
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 2, 2019
✔ NPI 1801358650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
220 RUSKIN DR, Colorado Springs, CO 80910
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Diane Heise Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547749269
PECOS Enrollment IDI20260211004006
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 20

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

SARAH C COOLEY MSW, LCSW
Social Worker (Clinical)
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
CAROL ROCHE
Counselor
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6150
MARIA MIRANDA
Counselor
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6150
BRIDGET BABCOCK
Case Manager/Care Coordinator
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
ADAH RODRIGUEZ MA
Counselor
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
El Paso County (718) 572-6101
DIVERSUS HEALTH INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
SASKEIA MITCHELL-CALIXTE BA
Case Manager/Care Coordinator
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100
AMANDA HALL
Case Manager/Care Coordinator
220 RUSKIN DR
COLORADO SPRINGS, CO 80910
El Paso County (719) 572-6100

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 Mallory Heise's NPI number?

The NPI number for Mallory Heise is 1801358650. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Mallory Heise located?

Mallory Heise practices at 220 Ruskin Dr, Colorado Springs, CO 80910. The listed phone number is (719) 314-4277.

What is Mallory Heise's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Mallory Heise enrolled in Medicare?

Yes. Mallory Heise is registered in the Medicare PECOS enrollment system.

What insurance does Mallory Heise accept?

Health plans from Oscar Insurance Company and Providence Health Plan list Mallory Heise 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 Mallory Heise was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.