Healing Hub LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HEALING HUB LLC

Practice address

8677 N Wayne Dr Ste B
Hayden, ID 83835-5190

Phone

(208) 691-0691

NPI assigned

May 30, 2023

Last updated

Jul 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashton Underdahl

Title

Co-Owner

Phone

(208) 691-0691

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Kaye Rice, LPC

  • Professional Counselor
  • Coeur d'Alene, ID
  • NPI 1669956686
  Medicare reassignment Care Compare group NPD
• Alisa Stephany Burlakov, LMSW

  • Social Worker
  • Post Falls, ID
  • NPI 1972256899
  Medicare reassignment Care Compare group NPD (past)
• Morgan Lynn Watson, MA, LMHC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1518340504

  ID, Professional

  Medicare reassignment Care Compare group NPD (past)
• Jenna Praggastis, LPC

  • Professional Counselor
  • Hayden, ID
  • NPI 1467250282
  NPD
• Cre'Elle Olivia Campa, LPC

  • Mental Health Counselor
  • Hayden, ID
  • NPI 1548129208
  NPD (past)
• Kathleen Howard

  • Behavior Analyst
  • Hayden, ID
  • NPI 1700566098
  NPD (past)

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1407549041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E HAYDEN VIEW DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157038",
            "telephone_number": "208-691-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8677 N WAYNE DR STE B",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355190",
            "telephone_number": "208-691-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "UNDERDAHL",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-691-0691"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669956686",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Vision Center P.a.
• Hayden Vision Source PLLC (Hayden Vision Source)
• Hayden Vision Source PLLC
• Jason Head
• Heal PLLC
• Healing Minds LLC
• Healing Through Compassion, LLC (Marsha McCurdy)
• Healium Family Support
• Randal Scot Heimark, D.C.
• Kailyn Elizabeth Heinen

• Professional Counselor in Hayden, ID
• Providers in Hayden, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.