Active NPI
Kaitlyn Marie Vandyk, LMSW
- Social Worker
- Boise, ID
National Provider Identifier
1306769310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7381311
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.