GIA HEPFLER LPC
NPI 1235551029
Counselor - Professional in Eau Claire, WI
NPI Status: Active since January 13, 2014
Contact Information
1400 BELLINGER ST
EAU CLAIRE, WI
ZIP 54703
Phone: (715) 838-5222
- Individual
- Female
- Years of Experience 5
- Counselor
- Professional
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About GIA HEPFLER
This page provides the complete NPI Profile along with additional information for Gia Hepfler, a provider established in Eau Claire, Wisconsin with a medical specialization in Counselor, focusing in professional and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1235551029 assigned on January 2014. The practitioner's primary taxonomy code is 101YP2500X with license number 6079-125 (WI). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1235551029
- Provider Name
- GIA HEPFLER LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1400 BELLINGER ST EAU CLAIRE, WI 54703
- Location Phone
- (715) 838-5222
- Mailing Address
- PO BOX 1510 EAU CLAIRE, WI 54702
- Mailing Phone
- (715) 838-5222
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-13-2014
- Last Update Date
- 04-26-2021
- Code Navigator
Location Map
Secondary Locations
- 2925 Mondovi Rd
Eau Claire, WI 54701
(715) 832-0238
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 Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6079-125
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Prevea360 Bronze HSA - HMO
- Prevea360 Bronze Share - HMO
- Prevea360 Catastrophic - HMO
- Prevea360 Expanded Bronze Standard - HMO
- Prevea360 Gold HSA - HMO
- Prevea360 Gold Share - HMO
- Prevea360 Gold Standard - HMO
- Prevea360 Silver $0 Copay PCP Visits - HMO
- Prevea360 Silver Share - HMO
- Prevea360 Silver Standard - HMO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Robin Oak $1,000 Gold - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gia Hepfler is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Gia Hepfler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9830614643
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250415000510
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for GIA HEPFLER LPC
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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 | 2 | 3 | 5 | 5 | 5 | 1 | 0 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 10 | 5 | 2 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 0 + 5 + 2 + 0 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1235551029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841296316 | JACKIE T JODAY MSW Individual | Social Worker (Clinical) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1710962907 | AHMAD QURESHI MD Individual | Internal Medicine (Pulmonary Disease) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1457338469 | STEVEN DANIEL JOHNSON MD Individual | Surgery | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1629055504 | BERNARD POESCHEL MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1255319331 | DR. DAVID SORGE MD Individual | Radiology (Diagnostic Radiology) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-3635 |
| 1760460752 | WILLIAM HETH MD Individual | Urology | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1023097417 | LELAND ROBERT MAYER MD Individual | Orthopaedic Surgery | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1285613406 | MICHELE KOMP WEBB PT Individual | Physical Therapist | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1720067960 | DENNIS RISTAU PT Individual | Physical Therapist | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1174503817 | SUSAN WAGNER PT Individual | Physical Therapist | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1275513459 | ROBERT D NOYCE MD Individual | Internal Medicine (Infectious Disease) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1518937382 | MARK EDWIN EDSTROM MD Individual | Internal Medicine | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1477524098 | GEORGE RIPECKYJ MD Individual | Radiology (Diagnostic Radiology) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1639142623 | RAE RICHARD HANSON MD Individual | Psychiatry & Neurology (Neurology) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1275500506 | KAYE I KRAVE NP Individual | Nurse Practitioner | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1821066804 | TIMOTHY M SHELLEY MD Individual | Internal Medicine (Rheumatology) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1306807912 | EDUARDO MOREYRA MD Individual | Internal Medicine (Cardiovascular Disease) | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1457313918 | SEAN M CABBAGE PA Individual | Physician Assistant | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1134181134 | SUSAN M POPE NP Individual | Nurse Practitioner | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
| 1568424562 | ROGER G ANDREWS PA Individual | Physician Assistant | 1400 BELLINGER ST EAU CLAIRE, WI 54703 (715) 838-5222 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235551029, enumerated in the NPI registry as an "individual" on January 13, 2014
The provider is located at 1400 Bellinger St Eau Claire, Wi 54703 and the phone number is (715) 838-5222
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider has more than 5 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Dean Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on January 13, 2014. 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.