Active NPI
Albinus Edward Heidt, LCPC
- Mental Health Counselor
- Glendive, MT
National Provider Identifier
1275697336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 771
- 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.
-
- Clinic/Center
- Miles City, MT
- NPI 1992786784
Mental Health
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
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 |
|---|---|---|---|
| 771 | MT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 771 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000255527 | Medicaid | MT |
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.