Heather Kippen, LCSW, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEATHER KIPPEN, LCSW, PLLC

Doing business as

Just Breathe
Just Breathe Counseling Services

Practice address

600 22ND Ave NW Ste 1
Minot, ND 58703-0986

Phone

(701) 839-3909

Fax

(701) 839-9071

NPI assigned

Jun 20, 2019

Last updated

Jan 4, 2024By 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

Heather D Kippen, LCSWNPI 1750636932

Title

Individual/Family Therapist

Phone

(701) 839-3909

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Just Breathe Doing business as
• Just Breathe Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

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.

• Heather Kippen, LCSW

  • Clinical Social Worker
  • Minot, ND
  • NPI 1750636932
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1427618446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 22ND AVE NW STE 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030986",
            "telephone_number": "701-839-3909",
            "fax_number": "701-839-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 22ND AVE NW STE 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030986",
            "telephone_number": "701-839-3909",
            "fax_number": "701-839-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER KIPPEN, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "KIPPEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "INDIVIDUAL/FAMILY THERAPIST",
        "authorized_official_telephone_number": "701-839-3909",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1462801",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477897",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just Breathe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Just Breathe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Just Breathe Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allisen Haynes
• Brittany Sharde Haynes
• Cassandra Heald, MS, ATC
• Healing Freedom Counseling PLLC
• Healthsource of Minot, LLC
• Ashley Lauren Hebbard, LSW
• Donna A Hebert
• Marianne Rae Heckman, PTA
• Leah Hedberg
• Caleb Heerema, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minot, ND
• Providers in Minot, ND by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.