Kilynn Lois Hainline, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-42705 Issued in ID

Practice address

850 East Young St
Pocatello, ID 83201-5736

Phone

(208) 223-8780

Fax

(208) 242-3892

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bella-Nacole Mental Health Services LLCGroup PAC ID 4183972094, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Bella-Nacole Mental Health Services LLC

  • Mental Health Counselor
  • Pocatello, ID
  • NPI 1215432539
  Medicare reassignment Care Compare group NPD
• Mental Health Specialists

  • Clinical Social Worker
  • Chubbuck, ID
  • NPI 1548585458
  NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1073162491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 EAST YOUNG ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015736",
            "telephone_number": "208-223-8780",
            "fax_number": "208-242-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 EAST YOUNG ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015736",
            "telephone_number": "208-223-8780",
            "fax_number": "208-242-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINLINE",
        "first_name": "KILYNN",
        "middle_name": "LOIS",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-42705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kilynn@mentalhealthspecialists.net",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Mental Health Specialists",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 W Burnside Ave",
            "address_2": "Suite A",
            "city": "Chubbuck",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832024916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Makenzi Gwinn, AU.D.
• Allyson Lynn Haack
• David Hachey, PHARM.D.
• Melanie Juliana Hackett, PHARMD
• Kaylene Bobi Hackworth, LCSW
• Paul Haislip, FNP
• Diana Halaliku, MS
• Krista Jean Hale, MS SLP
• Nicholas A Hale, PA
• Elizabeth Haley

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.