Individual provider Active NPI

Katelyn McKirgan, LMSW

  • Social Worker
  • Emmett, ID
National Provider Identifier
1154060952
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8911033 Issued in ID
Practice address
1312 S Washington Ave Ste 3
Emmett, ID 83617-3573
Phone
(208) 481-4461
Fax
(208) 369-4191
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8911033 ID Primary

Addresses

Primary practice location

1312 S Washington Ave Ste 3
Emmett, ID 83617-3573

Mailing address

1312 S Washington Ave Ste 3
Emmett, ID 83617-3573
Phone (208) 481-4461

Other names 1

  • Katelyn Hall Former name

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

State licenses

LicenseStateTypeSpecialty
8911033IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Molly and Me Counseling and Training Center CurrentSince Apr 23, 2023 Accepting new patients
Hale Counseling LLC CurrentSince Dec 28, 2025 Accepting new patients
A New Leaf, Inc. PastSince Dec 28, 2025 Accepting new patients

Locations

2995 N Cole Rd
Ste 270
Boise, ID 83704
Phone (208) 336-4504

1312 S Washington Ave
Ste 3
Emmett, ID 83617
Phone (208) 365-4477

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1154060952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 S WASHINGTON AVE STE 3",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173573",
            "telephone_number": "208-481-4461",
            "fax_number": "208-369-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 S WASHINGTON AVE STE 3",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173573",
            "telephone_number": "208-481-4461",
            "fax_number": "208-369-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIRGAN",
        "first_name": "KATELYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "8911033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "HALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Emmett, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.