Active NPI
Cynthia Kay Heidt, LCPC
- Mental Health Counselor
- Glendive, MT
National Provider Identifier
1255495404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 772
- Practice address
- 304 N Kendrick Ave
Glendive, MT 59330-1716 - Phone
- (406) 377-6075
- Fax
- (406) 377-8013
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 772 | MT | Primary |
Addresses
Primary practice location
304 N Kendrick Ave
Glendive, MT 59330-1716
Mailing address
304 N Kendrick Ave
Glendive, MT 59330-1716
Phone (406) 377-6075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000255527 | Medicaid | MT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255495404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N KENDRICK AVE",
"city": "GLENDIVE",
"state": "MT",
"postal_code": "593301716",
"telephone_number": "406-377-6075",
"fax_number": "406-377-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N KENDRICK AVE",
"city": "GLENDIVE",
"state": "MT",
"postal_code": "593301716",
"telephone_number": "406-377-6075",
"fax_number": "406-377-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDT",
"first_name": "CYNTHIA",
"middle_name": "KAY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000255527",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendive, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.