GERALD PATRICK O'HEARN MA, LPC
NPI 1851470165
Counselor - Professional in Traverse City, MI
About Gerald Patrick O'hearn Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GERALD PATRICK O'HEARN MA, LPC (NPI 1851470165) is an individual professional provider in Traverse City, Michigan, licensed in Michigan (6401009181) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Traverse City, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Gerald Patrick O'hearn Ma, Lpc 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 Reassignment
Medicare enrollment records show Gerald O'hearn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 135 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gerald O'hearn's NPI number?
The NPI number for Gerald O'hearn is 1851470165. It was assigned to this individual provider in the NPPES registry on November 6, 2006.
Where is Gerald O'hearn located?
Gerald O'hearn practices at 700 Hammond Rd E, Traverse City, MI 49686. The listed phone number is (231) 947-2255.
What is Gerald O'hearn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Gerald O'hearn enrolled in Medicare?
Yes. Gerald O'hearn 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 organization bills Medicare for Gerald O'hearn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gerald O'hearn reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The 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 Gerald O'hearn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gerald O'hearn 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 Gerald O'hearn 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 Gerald O'hearn was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Gerald Patrick O'hearn, MA, LPC · NPI 1851470165
Professional provider in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since November 6, 2006.
## Identity
- **NPI:** 1851470165 (Entity type: Individual)
- **Enumerated:** November 6, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401009181 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 HAMMOND RD E, Traverse City, MI 49686-8641
- **Phone:** (231) 947-2255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pine Rest Christian Mental Health Services (NPI 1386015683, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** December 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851470165) · Data from the CMS NPPES public registry.