Active NPI
Katelyn McKirgan, LMSW
- Social Worker
- Emmett, ID
National Provider Identifier
1154060952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8911033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8911033 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molly and Me Counseling and Training Center | Current | Accepting new patients | |
| Hale Counseling LLC | Current | Accepting new patients | |
| A New Leaf, Inc. | Past | 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.
-
- Clinical Social Worker
- Emmett, ID
- NPI 1811650468
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boise, ID
- NPI 1194268169
-
- Developmentally Disabled Services Day Training Agency
- Meridian, ID
- NPI 1114063344
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.