Individual provider Active NPI

Albinus Edward Heidt, LCPC

  • Mental Health Counselor
  • Glendive, MT
National Provider Identifier
1275697336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
771 Issued in MT
Practice address
204 N Kendrick Ave
Glendive, MT 59330-1700
Phone
(406) 377-6075
Fax
(406) 377-8013
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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
771MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Eastern Montana Community Mental Health Center Mental Health Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 771 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

204 N Kendrick Ave
Glendive, MT 59330-1700

Mailing address

204 North Kendrick Ave
Glendive, MT 59330
Phone (406) 377-6075

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0000255527MedicaidMT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275697336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 NORTH KENDRICK AVE",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "59330",
            "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": "204 N KENDRICK AVE",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301700",
            "telephone_number": "406-377-6075",
            "fax_number": "406-377-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDT",
        "first_name": "ALBINUS",
        "middle_name": "EDWARD",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "771",
            "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.

Verify at the official NPI Registry.