MEDICARE: LISA HEAVENER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	APS.007177	OH

General Provider Information

NPI Number	:	1912862228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA HEAVENER

Provider Business Mailing Address
First Line	:	794 MCPHERSON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-2138
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	794 MCPHERSON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-2138
Country	:	US
Telephone Number	:	513-383-1530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

Similar Medicare Providers

1710100334 — MICHAEL WIZER PSY.D.
Practice Location Address:

1 MOLINE CT
CINCINNATI, OH
45223-2138

Practice Phone: 513-591-0019
Practice Fax:

1881079358 — SANDRA CURTIS RN
Practice Location Address:

1658 MANDARIN DR
CINCINNATI, OH
45240-2138

Practice Phone: 513-264-2914
Practice Fax:

1831690643 — SHERELLE S ROLAND
Practice Location Address:

2709 ANDERSON FERRY RD APT 1
CINCINNATI, OH
45238-2138

Practice Phone: 513-344-9600
Practice Fax:

1417830506 — MADELINE SIERRA HENDRIX
Practice Location Address:

7211 BRIDGES RD
CINCINNATI, OH
45230-2138

Practice Phone: 513-807-1420
Practice Fax:

1497611644 — A LOVING HEART
Practice Location Address:

817 CONSIDINE AVE
CINCINNATI, OH
45205-2337

Practice Phone: 513-604-2551
Practice Fax:

1023972312 — LATOYA NICOLE CONYERS
Practice Location Address:

1260 ROSEMONT AVE APT 5
CINCINNATI, OH
45205-1466

Practice Phone: 513-477-7602
Practice Fax:

Directions to “ LISA HEAVENER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.