Individual provider Active NPI

Heidi M Barrett-McNerney, LCSW, CDCS, MAC

  • Clinical Social Worker
  • Kodiak, AK
National Provider Identifier
1295065522
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108107 Issued in AK
Practice address
1944 E Rezanof Dr
Kodiak, AK 99615-6601
Phone
(907) 654-4575
NPI assigned
Jan 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3374 AK
Clinical Social Worker 1041C0700X 108107 AK Primary

Addresses

Primary practice location

1944 E Rezanof Dr
Kodiak, AK 99615-6601

Mailing address

1994 E Rezanof Dr
Kodiak, AK 99615-6952
Phone (907) 942-1986

Other identifiers 3

IdentifierTypeStateIssuer
3374OtherAKCHEMICAL DEPENDENCY COUNSELOR SUPERVISOR
014987OtherVAMASTER ADDICTION COUNSELOR
108107OtherAKLICENSED CLINICAL SOCIAL WORKER

Other names 1

  • Heidi M Barrett Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Kodiak Other
CONNECT URL foremancounselingheidi@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20210129001804 AK Practitioner - Clinical Social Worker 0648684852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3374AKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McNerney Enterprises Current Accepting new patients
Foreman Counseling LLC Past Accepting new patients

Locations

1944 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 654-4575

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1295065522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-942-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156601",
            "telephone_number": "907-654-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT-MCNERNEY",
        "first_name": "HEIDI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW, CDCS, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "3374",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "108107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY COUNSELOR SUPERVISOR",
            "identifier": "3374",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER ADDICTION COUNSELOR",
            "identifier": "014987",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "108107",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kodiak",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Kodiak",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Kodiak",
            "address_1": "1911 E Rezanof Dr",
            "city": "Kodiak",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996156602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "foremancounselingheidi@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1911 E Rezanof Dr",
            "city": "Kodiak",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996156602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "BARRETT",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kodiak, AK

Sources for this page

Verify at the official NPI Registry.