Individual provider Active NPI

Ann Marie A Hefferan

  • Professional Counselor
  • Canonsburg, PA
National Provider Identifier
1124680277
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010937 Issued in PA
Practice address
225 W Pike St
Canonsburg, PA 15317-1188
Phone
(412) 491-8703
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC010937 PA Primary

Addresses

Primary practice location

225 W Pike St
Canonsburg, PA 15317-1188

Mailing address

4006 Pointe CT
Canonsburg, PA 15317-3906
Phone (412) 491-8703

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
I20260203001694 PA Practitioner - Mental Health Counselor 5698253326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 W Pike St
Canonsburg, PA 15317-1188

4006 Pointe CT
Canonsburg, PA 15317-3906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC010937PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
In the Now LLC CurrentSince Nov 11, 2025 Accepting new patients

Organizations & group practices 1

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1124680277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 POINTE CT",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153173906",
            "telephone_number": "412-491-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171188",
            "telephone_number": "412-491-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERAN",
        "first_name": "ANN MARIE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.