Individual provider Active NPI

Kaitlyn Marie Vandyk, LMSW

  • Social Worker
  • Boise, ID
National Provider Identifier
1306769310
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7381311 Issued in ID
Practice address
148 S Cole Rd
Boise, ID 83709-0932
Phone
(208) 683-8320
Fax
(208) 969-8380
NPI assigned
Aug 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7381311 ID
Social Worker 104100000X 7381311 ID Primary

Addresses

Primary practice location

148 S Cole Rd
Boise, ID 83709-0932

Mailing address

3918 W Torana Dr
Meridian, ID 83646-1263
Phone (208) 749-1267

Other practice location 1

509 Trolley Way Ste 104
Middleton, ID 83644-6047
Phone (208) 683-8320

Other practice location 2

3782 E Amity Ave Ste 105
Nampa, ID 83687-1196
Phone (208) 563-2972

Other practice location 3

496 Shoup Ave W
Twin Falls, ID 83301-5834
Phone (208) 683-8320

Other practice location 4

3918 W Torana Dr
Meridian, ID 83646-1263
Phone (208) 749-1267

Other practice location 5

411 Main St. Unit F
Kamiah, ID 83536
Phone (208) 683-8320

Other practice location 6

213 N Main St Ste 1B
Moscow, ID 83843-2700
Phone (208) 683-8320

Other names 1

  • Kaitlyn Marie Harness Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1306769310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 W TORANA DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461263",
            "telephone_number": "208-749-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090932",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Trolley Way Ste 104",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "ID",
            "postal_code": "836446047",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3782 E Amity Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836871196",
            "country_code": "US",
            "telephone_number": "208-563-2972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 Shoup Ave W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015834",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3918 W Torana Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461263",
            "country_code": "US",
            "telephone_number": "208-749-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Main St. Unit F",
            "address_purpose": "LOCATION",
            "city": "Kamiah",
            "state": "ID",
            "postal_code": "83536",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 N Main St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838432700",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDYK",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "7381311",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "7381311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "HARNESS",
            "middle_name": "MARIE",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.