Heather I Irene, MS, LBS
Counselor, Mental Health in Indiana, PA. Individual provider (NPI-1).
NPI number1558093963
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1558093963
- Entity type
- Individual (NPI-1)
- Name
- Ms. Heather I Irene
- Credential
- MS, LBS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2022
- Certification date
- Jun 26, 2022
- Last updated
- Dec 28, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | BH005404 | PA | Yes |
| 106S00000X | Behavior Technician | – | PA |
Other names
- Heather Irene (Professional Name)
Practice location
793 Old Route 119 Highway NorthIndiana, PA 15701
Phone 724-465-5576
Mailing address
793 Old Route 119 Highway NorthIndiana, PA 15701
Phone 724-465-5576
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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