Diane Judith Heribacka, LMFT
NPI 1700169752ActiveIndividual· Counselor, Mental Health· Titusville, FL
Counselor, Mental Health (LMFT) with Balanced Wellbeing LLC, practicing in Titusville, Florida. Medicare paid $26,626 for services to 152 patients in 2024.
Overview
| NPI | 1700169752 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMFT |
| Sole proprietor | No |
| NPI issued | Sep 26, 2011 |
| Last updated in NPPES | May 14, 2024 |
| Certified by provider | May 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | MT3289 | FL |
| Marriage & Family Therapist | 106H00000X | 35001728A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 152 |
|---|---|
| Services billed | 539 across 2 procedure codes |
| Paid by Medicare | $26,626 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Balanced Wellbeing LLCOcala, FL · 229 clinicians
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