ALEXIS G HEITMAN LMHC, LCDP
NPI 1134454556
Counselor - Mental Health in Charlestown, RI
NPI Status: Active since October 04, 2009
Contact Information
4705A OLD POST RD
CHARLESTOWN, RI
ZIP 02813
Phone: (401) 364-7705
Fax: (401) 364-9104
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- Opted-Out Medicare
About ALEXIS HEITMAN
This page provides the complete NPI Profile along with additional information for Alexis Heitman, a provider established in Charlestown, Rhode Island with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1134454556 assigned on October 2009. The practitioner's primary taxonomy code is 101YM0800X with license number MHC00431 (RI). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1134454556
- Provider Name
- ALEXIS G HEITMAN LMHC, LCDP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4705A OLD POST RD CHARLESTOWN, RI 02813
- Location Phone
- (401) 364-7705
- Location Fax
- (401) 364-9104
- Mailing Address
- 4705A OLD POST RD CHARLESTOWN, RI 02813
- Mailing Phone
- (401) 364-7705
- Mailing Fax
- (401) 364-9104
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2009
- Last Update Date
- 03-28-2013
- Code Navigator
A mental health counselor like Alexis Heitman provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Alexis Heitman opted out of Medicare effective on 02-17-2024 until 02-17-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MHC00431
- License State
- RI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | CDP00470 (RI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 461277 | OTHER (01) | RI | MHN |
| 1134454556 | OTHER (01) | RI | BCBSRI |
| 3039767 | OTHER (01) | RI | CIGNA |
| AH78980 | MEDICAID (05) | RI |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-17-2024
Opt-Out End Date: 02-17-2026
Eligible to Order and Refer? No
Reviews for ALEXIS G HEITMAN LMHC, LCDP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 4 | 5 | 4 | 5 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 8 | 5 | 8 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 8 + 5 + 8 + 5 + 1 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1134454556 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043264286 | MS. JACQUELINE M ROBSHAW LICSW Individual | Social Worker (Clinical) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1407800840 | MS. TERESA M CASTAGNA LCSW Individual | Social Worker (Clinical) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1043255680 | MS. MARILYN K ASHER LICSW, LCDP, CAS Individual | Social Worker (Clinical) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1528145661 | JOYCE ELLEN HICKEY RN Individual | Registered Nurse | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1124181243 | MICHAEL COLE PENDERGAST MSW, LICSW, ACSW Individual | Social Worker (Clinical) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1881744803 | KAREN ANNA PELCHAT LCSW Individual | Social Worker (Clinical) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1447376009 | ATASHA V SHARP LCSW Individual | Social Worker (Clinical) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1194962258 | JANICE LYNN HOVEY RN Individual | Registered Nurse | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1083845309 | ALAN PATRICK WHELAN LCDP Individual | Counselor (Addiction (Substance Use Disorder)) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1821312323 | MEGAN ANN GALLOGLY RN Individual | Registered Nurse | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1760709737 | NANCY A. ALMAGNO LMHC Individual | Counselor (Mental Health) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1255327391 | SOUTH SHORE CENTER INC Organization | Psychologist (Group Psychotherapy) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1740237080 | KIMBERLY A NEWBURY LICSW Individual | Social Worker (Clinical) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1639123847 | DR. BRANDON H KRUPP M.D. Individual | Psychiatry & Neurology (Psychiatry) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
| 1730120031 | TERESA W GREER MD Individual | Psychiatry & Neurology (Psychiatry) | 4705A OLD POST RD CHARLESTOWN, RI 02813 (401) 364-7705 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134454556, enumerated in the NPI registry as an "individual" on October 04, 2009
The provider is located at 4705a Old Post Rd Charlestown, Ri 02813 and the phone number is (401) 364-7705
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Harvard Pilgrim Health Care, Medicare, Medicaid,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on February 17, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 17, 2026.
This NPI record was last updated on October 04, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.