Jennifer Trina Heckendorn, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089323 Issued in MI

Practice address

210 Collingwood St Ste 120
Ann Arbor, MI 48103-3813

Phone

(734) 274-0536

Fax

(734) 527-6184

NPI assigned

Mar 25, 2013

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, FL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heckendorn Consultation and Therapy PLLCGroup PAC ID 1254551096, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Heckendorn Consultation and Therapy, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1467883587
  Medicare reassignment Care Compare group NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MI

  Medicare reassignment NPD
• Wade Counseling

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1245949890
  Authorized official Same address or phone

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1194067421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COLLINGWOOD ST STE 120",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033813",
            "telephone_number": "734-274-0536",
            "fax_number": "734-527-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COLLINGWOOD ST STE 120",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033813",
            "telephone_number": "734-274-0536",
            "fax_number": "734-527-6184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Pauline Blvd",
            "address_2": "Ste 15C",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481035047",
            "country_code": "US",
            "telephone_number": "734-274-0536",
            "fax_number": "734-527-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKENDORN",
        "first_name": "JENNIFER",
        "middle_name": "TRINA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "MI7969001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Carol Hebert
• Rosha Hebsur, PSYD
• Rachel Kramer Hechtman, MD
• Rachelle Heck
• Heckendorn Consultation and Therapy, PLLC
• John Robert Heckenlively, MD
• Kristin Francine Heckman-Nickodemus, D.D.S.
• Allie Jo Heckman, AUD
• Mary K Hedglen, LPN
• Leslie T. Hefner, LESLIE HEFNER PH.D.

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.