Individual provider Active NPI

Kelly J. Heinlen, LMHC

  • Mental Health Counselor
  • Colfax, WA
National Provider Identifier
1275779662
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60065038 Issued in WA
Practice address
1010 N Morton St
Colfax, WA 99111
Phone
(509) 844-8774
NPI assigned
Jan 6, 2009
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60065038 WA Primary

Addresses

Primary practice location

1010 N Morton St
Colfax, WA 99111

Mailing address

1010 N Morton St
Colfax, WA 99111
Phone (509) 844-8774

Other names 1

  • Mrs. Kelly J Morasch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241129000372 WA Practitioner - Mental Health Counselor 5597290403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palouse River Counseling CenterGroup PAC ID 5698768331, 12 clinicians

Practice addresses (Care Compare)

340 NE Maple St
Palouse Rover Counseling
Pullman, WA 99163-4120
Phone (509) 334-1133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60065038WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palouse River Counseling Center CurrentSince Sep 26, 2024 Accepting new patients

Locations

340 NE Maple St
Pullman, WA 99163
Phone (509) 334-1133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1275779662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N MORTON ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "99111",
            "telephone_number": "509-844-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N MORTON ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "99111",
            "telephone_number": "509-844-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLEN",
        "first_name": "KELLY",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60065038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MORASCH",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colfax, WA

Sources for this page

Verify at the official NPI Registry.