HEARTWISE HEALING LLC
NPI 1821777095
Clinic/Center - Adult Mental Health in Boulder, CO

Active since July 14, 2023
625 WALDEN CIR APT 103, BOULDER, CO 80305(732) 325-5802 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Heartwise Healing Llc NPPES

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

HEARTWISE HEALING LLC (NPI 1821777095) is a healthcare organization registered as an adult mental health in Boulder, Colorado and active in the NPI registry since July 2023. The organization lists Caroline Lee, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1821777095
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHEARTWISE HEALING LLC
Location Address625 WALDEN CIR APT 103Boulder, CO 80305-7606
Mailing Address625 Walden Cir Apt 103Boulder, CO 80305-7606 · (732) 325-5802
Organization SubpartNo
Authorized OfficialCaroline LeeSocial Worker · (732) 325-5802
Enumeration DateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1821777095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
625 WALDEN CIR APT 103, Boulder, CO 80305

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heartwise Healing Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Heartwise Healing LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1932847597
777 29TH ST
Boulder, CO 80303
(970) 310-3406
✔ PECOS✔ Accepts Medicare1.6 mi

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

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 Heartwise Healing LLC's NPI number?

The NPI number for Heartwise Healing LLC is 1821777095. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Heartwise Healing LLC located?

Heartwise Healing LLC is located at 625 Walden Cir Apt 103, Boulder, CO 80305. The listed phone number is (732) 325-5802.

What is Heartwise Healing LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Heartwise Healing LLC enrolled in Medicare?

Yes. Heartwise Healing LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heartwise Healing LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Heartwise Healing LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heartwise Healing LLC was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.