Individual provider Active NPI

Natalie M Heidtmann, LPC, MS, CADCI

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1023488061
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1345 NW Wall St Ste 201
Bend, OR 97703-1967
Phone
(541) 248-1577
NPI assigned
Oct 2, 2015
Last updated
Mar 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15-05-15 OR
Professional Counselor 101YP2500X NU Primary
Professional Counselor 101YP2500X C5105 OR

Addresses

Primary practice location

1345 NW Wall St Ste 201
Bend, OR 97703-1967

Mailing address

20233 Sundowner LN
Bend, OR 97703-1152
Phone (541) 248-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C5105ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Heidtmann, LPC, Ms, Cadci, LLC Addiction (Substance Use Disorder) CurrentSince Mar 9, 2020 Accepting new patients

Locations

1001 SW Disk Dr
Ste 110
Bend, OR 97702
Phone (541) 248-1577

15 NW Park Pl
Ste 130
Bend, OR 97703
Phone (541) 610-8391

151 SW Shevlin Hixon Dr
Ste 101
Bend, OR 97702
Phone (541) 248-1577

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1023488061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20233 SUNDOWNER LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031152",
            "telephone_number": "541-248-1577",
            "fax_number": "541-639-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031967",
            "telephone_number": "541-248-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDTMANN",
        "first_name": "NATALIE",
        "middle_name": "M",
        "credential": "LPC, MS, CADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "15-05-15",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.