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Jessica Rose Heaney

Marriage & Family Therapist

Behavioral Health & Social Service Providers

101 Wikiup Dr, Santa Rosa, CA 95403-1375

PECOS Enrollment

This provider is enrolled in PECOS as JESSICA HEANEY.

Based on the most recent information from CMS, provider Jessica Rose Heaney is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1700498078
Provider Type
Individual
Full Name
Heaney, Jessica Rose
Gender
Female

Sole Proprietor
No
Enumeration Date
8/18/2020
Last Updated
12/24/2025

Contact Information

Practice Location

101 Wikiup Dr, Santa Rosa, CA 95403-1375

(510) 317-1444

Unlisted Fax

Mailing Location

8945 Golf Links Rd, Oakland, CA 94605-4124

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 154593 California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 132253 California

Jessica Rose Heaney

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Love, Savannah Dominique

Carlozzi, Dante

Beccio, Brandon Marc

Gayowski, William Michael

Privette, Thea A.

Smith, Leona M

Gold, Debra

Reed, Molly Rose

Cutler, Theresa Ann

Messinger, Raymond Vincent