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

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: November 01, 2026.

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

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 and is a graduate of Other (2014).

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
Medical School CMSOtherGraduated 2014
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3375000722
PECOS Enrollment IDI20260806000637
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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Elliott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deer Oaks Mental Health Associates PC
969 mi
Clinical
3025 TERRACE DR
Las Cruces, NM 88011
  • Reassigned Medicare billing, Missouri enrollment
  • 60 clinicians in this Medicare group
NPI 1134175763 (888) 365-6271

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 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
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (573) 468-3555
KHURSHEED ZIA M.D.
Psychiatry & Neurology (Psychiatry)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
DR. PATRICIA HINKLE M.D.
Family Medicine
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
SARAH ELIZABETH PRICE LPC
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937
TONI MARIE GLOVER LPN
Licensed Practical Nurse
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (573) 364-7551
DANIELLE BEALMEAR LPC
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
JESSICA KATHLEEN BAKULA
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937
SANDRA RACHELE SUMNER RDH
Dental Hygienist
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937

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 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.

Where is Heather Elliott located?

Heather Elliott practices at 101 Progress Pkwy, Sullivan, MO 63080. The listed phone number is (888) 403-1071.

What is Heather Elliott's specialty?

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

Is Heather Elliott enrolled in Medicare?

Yes. Heather Elliott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Elliott reassigns Medicare benefits to Deer Oaks Mental Health Associates PC (Las Cruces, NM). 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 Heather Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.