Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Heather Lynne Provence, PMHNP

Psychiatric/Mental Health Nurse Practitioner in New Providence, NJ · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295221612

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Registry record

Entity type Individual (Type 1)

Name Heather Lynne Provence

Credential PMHNP

Sex Female

Practice address 890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence, NJ, 07974

Phone (908) 277-8900

Fax (908) 508-8919

Enumeration date Jul 9, 2018

Last updated in NPPES Jul 3, 2023

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License F402394-1 (NY) Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 26NJ01289400 (NJ) Primary

Other identifiers

Identifier	Type	State	Issuer
05265370	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Heather Provence?

The National Provider Identifier (NPI) for Heather Provence is 1295221612, a Type 1 (individual) record in the CMS NPPES registry.

Where does Heather Provence practice?

The practice location on file with NPPES is in New Providence, NJ. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-03.