Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1770155657 Deactivated / Inactive NPI Female Practitioner

Kristen Heller , MED, LAC

Counselor • Wayne, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kristen Heller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2021
NPI Deactivation Date March 12, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Kristen Heller, MED, LAC was a registered Counselor practicing in Wayne, NJ. Throughout an active medical career spanning 5 years, Kristen Heller provided care at the practice location at 1401 VALLEY RD until profile deactivation on 2026-03-12.

Practice Location & Contact Primary Location

Practice Address

1401 Valley Rd

Wayne, NJ 074702073

Telephone 9737504196
Associated Practice Facility / Clinic
🏢 Basic Home Infusion, Llc Facility NPI 1679514509

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Wayne, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Wayne, NJ (1633 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License NJ 37AC00588200

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Ayana Collado

Counselor - Professional

NPI 1063130912
Mignolia Placencia

Counselor - Professional

NPI 1124616446
NPI 1134150535

Pharmacist

NPI 1184318784

Master of Arts, Licensed Acupuncturist

NPI 1437721156

Doctor of Pharmacy (Pharm.D.)

NPI 1568181626

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

NPI Profile Active July 12, 2021

NPI status registered as active in NPPES database

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Updated Practice Location July 12, 2021

Registered at 1401 VALLEY RD, WAYNE, NJ 074702073 (Tel: 9737504196)

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Updated Business Mailing Address July 12, 2021

Registered at 50 FOREST RD, GLEN ROCK, NJ 074521503 (Tel: 5515808316)

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Provider Name / Credentials Updated July 12, 2021

Recorded as KRISTEN HELLER, MED, LAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2021

Counselor (License #37AC00588200 in NJ)

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Initial NPI Registration & Enumeration July 12, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770155657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2021
Last Update: July 12, 2021
Deactivation Date: March 12, 2026

Mailing Address

50 Forest Rd

Glen Rock, NJ 074521503

Phone: 5515808316

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.