Active NPI
KH Counseling & Health Center, LLC
- Clinical Social Worker
- Hailey, ID
National Provider Identifier
1174010573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KH COUNSELING & HEALTH CENTER, LLC
- Practice address
- 101 Empty Saddle TRL Ste 120
Hailey, ID 83333-8437 - Phone
- (208) 720-2049
- NPI assigned
- Apr 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Hayes, LCSW
- Title
- Owner
- Phone
- (208) 720-2049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
101 Empty Saddle TRL Ste 120
Hailey, ID 83333-8437
Mailing address
101 Empty Saddle TRL Ste 120
Hailey, ID 83333-8437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346642550 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hailey, ID
- NPI 1346642550
-
- Social Worker
- Twin Falls, ID
- NPI 1477837698
-
- Professional Counselor
- Hailey, ID
- NPI 1932975331
-
- Mental Health Counselor
- Hailey, ID
- NPI 1467041269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697760000000",
"number": "1174010573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EMPTY SADDLE TRL STE 120",
"city": "HAILEY",
"state": "ID",
"postal_code": "833338437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 EMPTY SADDLE TRL STE 120",
"city": "HAILEY",
"state": "ID",
"postal_code": "833338437",
"telephone_number": "208-720-2049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KH COUNSELING & HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-20",
"last_updated": "2023-10-20",
"certification_date": "2023-06-14",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-720-2049",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346642550",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hailey, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.