Heidi Beth Koss, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 60334364 Issued in WA

Practice address

13128 Totem Lake Blvd NE
Suite 206
Kirkland, WA 98034-2953

Phone

(425) 821-1810

Fax

(425) 823-1231

NPI assigned

Feb 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heidi Beth Koss-Nobel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Evergreen Clinic

  • Psychiatry Physician
  • Kirkland, WA
  • NPI 1447314539
  NPD (past)

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

{
    "created_epoch": "1234051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1083853592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "SUITE 206",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-821-1810",
            "fax_number": "425-823-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "SUITE 206",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-821-1810",
            "fax_number": "425-823-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSS",
        "first_name": "HEIDI",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-08",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60334364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "KOSS-NOBEL",
            "middle_name": "BETH",
            "credential": "LMCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Leigh Konkle, DPT
• Leanne Konzelman, LMHC
• Stanley Albert Kopp, M.D.
• Shilpa Korah, PHARMD
• Jennifer Kristin Kosaka, DDS
• Samantha Blair Kossof
• Crystal Charlotte Kostelyk, ARNP
• Anuradha Balu Kote, DDS
• Caitlin Kouchakji
• John C. Kovacich, MD

• Mental Health Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.