HEATHER M HAREZA – Counselor, NPI 1366163115

HEATHER M HAREZA is a healthcare provider. based in Port townsend, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LH61631192 (WA). The NPI Number for HEATHER M HAREZA is 1366163115

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER M HAREZA
NPI
1366163115
Phone
(360) 385-0321
Address
PO BOX 565
Enumeration Date
9 September 2022
Last Update Date
31 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603850321
Graduation Year
2022 (4 years ago)
PAC ID
7911437926
Group Practice PAC ID
6103715081
Professional Enrollment ID
I20250205004164
Address ID
WA983682273PO884XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for HEATHER M HAREZA

  • PO BOX 565

    PORT TOWNSEND, WA 983680565

    Phone: (360) 385-0321

    Fax: (360) 379-5534

    Type: Mailing

  • 884 W PARK AVE

    PORT TOWNSEND, WA 983682273

    Phone: (360) 385-0321

    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: 2025-02-05

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
I20250205004164IMental Health CounselorWATBD

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 98368)

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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: 6103715081View full group profile
NameSpecialtyState
-WA
Clinical Social WorkerWA
Nurse PractitionerWA
Mental Health CounselorWA
Nurse PractitionerWI
Nurse PractitionerWA
Clinical Social WorkerWA
Nurse PractitionerWA
Mental Health CounselorCA
Clinical Social WorkerWA

Reviews

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Frequently asked questions

How is HEATHER M HAREZA identified in CMS data?
CMS-hosted NPPES data lists HEATHER M HAREZA with NPI 1366163115.
Is HEATHER M HAREZA listed as active for patients and plans?
The listing shows HEATHER M HAREZA as active in the NPI system.
What healthcare role does HEATHER M HAREZA hold?
Scheduling teams often label HEATHER M HAREZA under Counselor. Clinical services aligned with this taxonomy classification.
Does HEATHER M HAREZA list a practice location?
Patients near Port Townsend, Washington may find HEATHER M HAREZA in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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