Individual provider Active NPI

Carl Heffermehl

  • Mental Health Counselor
  • Middletown, PA
National Provider Identifier
1104665694
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
29 Woodmere Building
Middletown, PA 17057-2552
Phone
(203) 794-2732
NPI assigned
May 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

29 Woodmere Building
Middletown, PA 17057-2552

Mailing address

29 Woodmere Building
Middletown, PA 17057-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127003638 PA Practitioner - Mental Health Counselor 6507391505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Locascio WellnessGroup PAC ID 3274073135, 5 clinicians

Practice addresses (Care Compare)

101 Harvard Rd
Havertown, PA 19083-3614
Phone (267) 573-9817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Locascio Wellness CurrentSince Jul 17, 2025 Accepting new patients
Integrative Counseling Services, PC CurrentSince Sep 10, 2024 Accepting new patients

Locations

4309 Linglestown Rd
Ste 214
Harrisburg, PA 17112
Phone (717) 412-4908

660 Rising Sun Rd
Millersburg, PA 17061
Phone (717) 362-8900

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1104665694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WOODMERE BUILDING",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WOODMERE BUILDING",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572552",
            "telephone_number": "203-794-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERMEHL",
        "first_name": "CARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

Verify at the official NPI Registry.