Individual provider

Lori Ann Heffner, MA., EDM., LCADC.

Addiction (Substance Use Disorder) Counselor Medicare enrolled

Lori Ann Heffner, MA., EDM., LCADC. is an Addiction (Substance Use Disorder) Counselor in Flemington, NJ, registered under NPI 1497886923. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2100 WESCOTT DR HBH, Flemington, NJ 08822. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2100 WESCOTT DR HBH, Flemington, NJ 08822 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
37LC00115800 NJ Addiction (Substance Use Disorder)… primary

This provider holds licence 37LC00115800 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
5193169407
Enrollment ID
I20240214003122

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1497886923 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 8, 2007
Last updatedJul 8, 2007
StatusActive
Sole proprietorYes
CredentialMA., EDM., LCADC.
Practice address 2100 WESCOTT DR
HBH
Flemington, NJ 08822
(908) 788-6401
Fax (908) 788-6584
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1497886923 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 9 7 8 8 6 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 9 7 7 8 3 9 4

Sum = 77 · next multiple of 10 = 80 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1497886923?
NPI 1497886923 is the National Provider Identifier assigned to Lori Ann Heffner, MA., EDM., LCADC. in Flemington, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Lori Ann Heffner, MA., EDM., LCADC.?
The phone number on file with NPPES is (908) 788-6401, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Lori Ann Heffner, MA., EDM., LCADC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1497886923 a valid number?
Yes. 1497886923 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.