HEATHER MARIE JEFFREY (MA, LPCC, LADC) – Professional Counselor, NPI 1366132870

HEATHER MARIE JEFFREY (MA, LPCC, LADC) is a healthcare provider. based in Big lake, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPCC, LADC. They hold a License No. 3833 (MN). The NPI Number for HEATHER MARIE JEFFREY (MA, LPCC, LADC) is 1366132870

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER MARIE JEFFREY (MA, LPCC, LADC)
NPI
1366132870
Phone
(651) 269-6679
Address
18851 258TH AVE NW
Enumeration Date
9 May 2023
Last Update Date
9 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512574159
Graduation Year
2018 (8 years ago)
PAC ID
3678923067
Group Practice PAC ID
3173983038
Professional Enrollment ID
I20231227002435
Address ID
MN550259788FO18323NXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for HEATHER MARIE JEFFREY (MA, LPCC, LADC)

  • 18851 258TH AVE NW

    BIG LAKE, MN 553098572

    Phone: (651) 269-6679

    Type: Mailing

  • 18323 JULY AVE N

    FOREST LAKE, MN 550259788

    Phone: (651) 257-4159

    Fax: (651) 400-4800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231227002435IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173983038View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Can I verify HEATHER MARIE JEFFREY (MA, LPCC, LADC) with an NPI only?
You can start verification with NPI 1366132870 for HEATHER MARIE JEFFREY (MA, LPCC, LADC), then check state licensing separately.
Is HEATHER MARIE JEFFREY (MA, LPCC, LADC) listed as active for patients and plans?
The listing shows HEATHER MARIE JEFFREY (MA, LPCC, LADC) as active in the NPI system.
What is HEATHER MARIE JEFFREY (MA, LPCC, LADC) best known for clinically?
Directory data describes HEATHER MARIE JEFFREY (MA, LPCC, LADC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does HEATHER MARIE JEFFREY (MA, LPCC, LADC) list a practice location?
Patients near Big Lake, Minnesota may find HEATHER MARIE JEFFREY (MA, LPCC, LADC) in results; validate coverage separately.
Why does HEATHER MARIE JEFFREY (MA, LPCC, LADC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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