Individual provider Active NPI

Robert Heller, LPC

  • Professional Counselor
  • Exeter, PA
National Provider Identifier
1447808480
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014885 Issued in PA
Practice address
1251 Wyoming Ave
Exeter, PA 18643-1434
Phone
(570) 307-9069
NPI assigned
Sep 3, 2019
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 PC014885 PA Primary

Addresses

Primary practice location

1251 Wyoming Ave
Exeter, PA 18643-1434

Mailing address

1251 Wyoming Ave
Exeter, PA 18643-1434
Phone (570) 342-8434

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
I20240112000995 PA Practitioner - Mental Health Counselor 9638520737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiffany Griffiths Psy D and Associates IncGroup PAC ID 5496907776, 14 clinicians

Practice addresses (Care Compare)

1251 Wyoming Ave
Exeter, PA 18643-1434
Phone (570) 342-8434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health Services, LLC Professional CurrentSince Sep 20, 2022 Accepting new patients
Tiffany Griffiths Psy D & Associates Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Aaron Center, Inc. Multi-Specialty PastSince Sep 1, 2019 Accepting new patients
Gabriela M Yurkanin DPM PC Multi-Specialty PastSince Mar 5, 2023 Accepting new patients

Locations

502 N Blakely St
Dunmore, PA 18512
Phone (570) 342-8434

1251 Wyoming Ave
Exeter, PA 18643
Phone (570) 307-9054

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18643/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1447808480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-307-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "ROBERT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, PA

Sources for this page

Verify at the official NPI Registry.