HEATHER NICOLE ELLIOTT LPC
NPI 1972808814
Counselor - Mental Health in Sullivan, MO

Q: What is Heather Elliott's NPI number?

The NPI number for Heather Elliott is 1972808814. It was assigned to this individual provider in the NPPES registry on January 25, 2011. The provider is also known as Heather Nicole Hennicke.

Q: What is Heather Elliott's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Elliott was last updated on January 7, 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.

Active since January 25, 2011PECOS Enrolled

101 PROGRESS PKWY, SULLIVAN, MO 63080(888) 403-1071(573) 468-2567 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 7, 2021, Sep 27, 2019, Oct 12, 2018 (3 updates tracked since 2018).

On this page

About Heather Nicole Elliott Lpc NPPES

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

HEATHER NICOLE ELLIOTT LPC (NPI 1972808814) is an individual mental health provider in Sullivan, Missouri, licensed in Missouri (2016034420) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972808814

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameHEATHER NICOLE ELLIOTTCredential: LPC

Location Address101 PROGRESS PKWYSullivan, MO 63080-2359

Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131

Phone(888) 403-1071

Fax(573) 468-2567

Sole ProprietorNo

Enumeration DateJanuary 25, 2011

Last NPPES UpdateJanuary 7, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2021

✔ NPI 1972808814 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 MO · 2016034420

101 PROGRESS PKWY, Sullivan, MO 63080

Open in Google Maps ↗

Other Names 1

Former Name (1)Heather Nicole Hennicke

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Nicole Elliott Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DR. FELIPE ELJAIEK M.D.

Internal Medicine