HEIDI ROSS (LMHC, SUDPT) – Mental Health Counselor, NPI 1104249994
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,949 MENTAL HEALTH COUNSELOR in TX
Provider Addresses for HEIDI ROSS (LMHC, SUDPT)
3840 HULEN ST
FORT WORTH, TX 761077277
Phone: (817) 569-4395
Type: Mailing
100 Cedar Crest Dr
Winlock, WA 985969791
Phone: (360) 785-9400
Fax: (360) 330-7865
Type: Location
2690 NE KRESKY AVE
CHEHALIS, WA 985322412
Phone: (360) 330-9595
Fax: (360) 330-9560
Type: Mailing
117 RAMSEY WAY
TOLEDO, WA 985919445
Phone: (360) 864-4400
Fax: (360) 330-7865
Type: Location
PO BOX 2394
LONGVIEW, WA 986328455
Phone: (360) 200-5419
Fax: (360) 200-6736
Type: Mailing
1126 S GOLD ST
CENTRALIA, WA 985313768
Phone: (360) 807-4929
Fax: (360) 807-4160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2024-01-09
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 |
|---|---|---|---|---|
| I20240109004880 | I | Mental Health Counselor | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76107)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | WA | |
| - | OR | |
| Clinical Psychologist | OR | |
| Clinical Social Worker | OR | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| - | OR | |
| - | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.