HEATHER L BEAUDRY (PHD) – Clinical Psychologist, NPI 1760464937
Clinical Psychologist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
400 CLINICAL PSYCHOLOGIST in TN
Provider Addresses for HEATHER L BEAUDRY (PHD)
1755, Oregon Pike, Roseville, Lancaster County, Pennsylvania, 17601, United States
SUITE 200
LANCASTER, PA 17601
Phone: (717) 581-5255
Fax: (717) 581-5259
Type: Mailing
1907 N ROAN ST STE 207
JOHNSON CITY, TN 376013182
Phone: (423) 282-0164
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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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: 2011-04-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110401000393 | I | Clinical Psychologist | TN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 221 | 12 | $0 |
Insurance plans in this area (ZIP 17601)
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