Individual provider Active NPI

Heather Pepe, LCSW

  • Professional Counselor
  • Daytona Beach, FL
National Provider Identifier
1255747515
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SW 11337 Issued in FL
Practice address
2712 S Atlantic Ave
Daytona Beach, FL 32118-5702
Phone
(386) 265-3267
NPI assigned
Jul 8, 2014
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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 SW 11337 FL Primary

Addresses

Primary practice location

2712 S Atlantic Ave
Daytona Beach, FL 32118-5702

Mailing address

2712 S Atlantic Ave
Daytona Beach, FL 32118-5702
Phone (386) 265-3267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141010000867 FL Practitioner - Clinical Social Worker 9234359407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Psychology Center PAGroup PAC ID 8022027044, 2 clinicians

Practice addresses (Care Compare)

570 Memorial Cir
Suite 150
Ormond Beach, FL 32174-5062
Phone (386) 672-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 11337FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Celestial Perceptions Counseling and Holistic Center CurrentSince Jun 17, 2025 Accepting new patients
Medical Psychology Center PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

570 Memorial Cir
Ste 150
Ormond Beach, FL 32174
Phone (386) 672-9250

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1255747515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 S ATLANTIC AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185702",
            "telephone_number": "386-265-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 S ATLANTIC AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185702",
            "telephone_number": "386-265-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPE",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "SW 11337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.