Heather Jean Clark, MA, LPC in Maple Shade, NJ

Heather Jean Clark, MA, LPC is a medicare enrolled "Counselor - Mental Health" provider in Maple Shade, New Jersey. Her current practice location is 43 Village Of Stoney Run Apt F, Maple Shade, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 617-4604.

Heather Jean Clark is licensed to practice in Pennsylvania (license number PC014131) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144968694.

Contact Information

	Heather Jean Clark, MA, LPC
	43 Village Of Stoney Run Apt F, Maple Shade, NJ 08052-2143
	(609) 617-4604
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Heather Jean Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	43 Village Of Stoney Run Apt F, Maple Shade, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144968694
Provider Enumeration Date: 05/24/2022
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4789121344
Enrollment ID: I20240801001063

Medical Identifiers

Medical identifiers for Heather Jean Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144968694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC014131 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Heather Jean Clark allows following entities to bill medicare on her behalf.

Entity Name	Indlovu Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619661584 PECOS PAC ID: 2961853353 Enrollment ID: O20240110002577

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Jean Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Heather Jean Clark, MA, LPC 43 Village Of Stoney Run Apt F, Maple Shade, NJ 08052-2143 Ph: (609) 617-4604	Heather Jean Clark, MA, LPC 43 Village Of Stoney Run Apt F, Maple Shade, NJ 08052-2143 Ph: (609) 617-4604

Reviews and Comments

Counselor in Maple Shade, NJ

Ms. Faith Niemcewicz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 E Kings Hwy Apt 106, Maple Shade, NJ 08052 Phone: 609-582-3228
Danyel Sileo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 S Lippincott Ave, Maple Shade, NJ 08052 Phone: 267-457-4922
Linzi Ryan, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 E Kings Hwy Ste 403, Maple Shade, NJ 08052 Phone: 888-966-0746
Ms. Lynn P Delaurentis, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 S Holly Ave, Maple Shade, NJ 08052 Phone: 609-481-5830

Heather Jean Clark, MA, LPC - Medicare Counselor in Maple Shade, NJ