Katelynne Elizabeth Hildreth, TLMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

114919 Issued in IA

Practice address

720 Kenyon Rd
Fort Dodge, IA 50501-5759

Phone

(515) 570-8261

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Greene County Medical CenterGroup PAC ID 0143208595, 16 clinicians

North Central Iowa Mental Health Center, IncGroup PAC ID 1153210232, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Central Iowa Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
  • NPI 1922188606

  IA

  Medicare reassignment Care Compare group NPD (past)
• Greene County Medical Center

  • Public Health or Welfare Agency
  • Jefferson, IA
  • NPI 1073871471
  Care Compare group
• Greene County Medical Center

  • Critical Access Hospital
  • Jefferson, IA
  • NPI 1083654883
  Care Compare group
• Greene County Medical Center

  • Multi-Specialty Clinic/Center
  • Jefferson, IA
  • NPI 1245260652
  Care Compare group
• Greene County Medical Center

  • Rural Health Clinic/Center
  • Jefferson, IA
  • NPI 1457825192
  Care Compare group
• Greene County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Jefferson, IA
  • NPI 1629153176
  Care Compare group
• North Central Iowa Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
  • NPI 1801635404
  Care Compare group

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1306568092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 MORTIMER AVE",
            "city": "CALLENDER",
            "state": "IA",
            "postal_code": "505235035",
            "telephone_number": "641-340-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "515-570-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "KATELYNNE",
        "middle_name": "ELIZABETH",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "114919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.unitypoint.org/fortdodge/berryhill-center-of-mental-health",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "720 Kenyon Rd",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505015759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethany Heidemann, NP
• Helping Hands Homecare of Iowa, LLC
• Elizabeth Hemkens, FNP
• Jenna Renee Hermanson
• Russell Dean Heun, D.D.S
• Christopher David Hill, D.O.
• Gregory Rex Hill, MD
• Nicole Jean Hoag, LMSW
• Heidi Marie Hofbauer, CADC
• Katelyn Hofbauer

• All providers in Fort Dodge, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.