MS. LINDA HEAVISIDE M.S., LPC, NCC
NPI 1831481068
Counselor - Mental Health in Marietta, GA

Active since May 05, 2011Opted out of Medicare · through Feb 8, 2028
1640 POWERS FERRY RD SE STE 300, MARIETTA, GA 30067(404) 423-8417 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Linda Heaviside M.s., Lpc, Ncc NPPES

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

MS. LINDA HEAVISIDE M.S., LPC, NCC (NPI 1831481068) is an individual mental health provider in Marietta, Georgia, licensed in Georgia (LPC007550) and active in the NPI registry since May 2011. She has opted out of Medicare through February 8, 2028.

NPPES Registry Identity

NPI1831481068
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LINDA HEAVISIDECredential: M.S., LPC, NCC
Location Address1640 POWERS FERRY RD SE STE 300Marietta, GA 30067-5491
Mailing Address1640 Powers Ferry Rd Se Ste 300Marietta, GA 30067-5491 · (404) 423-8417
Sole ProprietorYes
Enumeration DateMay 5, 2011
Last NPPES UpdateMarch 14, 2016
NPI 1831481068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC007550
1640 POWERS FERRY RD SE STE 300, Marietta, GA 30067

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Linda Heaviside M.s., Lpc, Ncc 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 February 8, 2024 through February 8, 2028.

Opt-Out Effective DateFebruary 8, 2024
Opt-Out In Effect ThroughFebruary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

Registered Nurse (Psychiatric/Mental Health, Adult)
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067
Counselor (Mental Health)
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067
Social Worker
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067
Social Worker (Clinical)
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067
Marriage & Family Therapist
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067
Counselor (Professional)
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067
Social Worker
1640 POWERS FERRY RD SE STE 300
MARIETTA, GA 30067
Licensed Practical Nurse
1640 POWERS FERRY RD SE STE 300, BUILDING 7
MARIETTA, GA 30067

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 Linda Heaviside's NPI number?

The NPI number for Linda Heaviside is 1831481068. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Linda Heaviside located?

Linda Heaviside practices at 1640 Powers Ferry Rd SE Ste 300, Marietta, GA 30067. The listed phone number is (404) 423-8417.

What is Linda Heaviside's specialty?

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

Is Linda Heaviside enrolled in Medicare?

No. Linda Heaviside has opted out of Medicare through February 8, 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 Linda Heaviside was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.