Active NPI
Heidi Lynn Kahlstorf, LMFT
- Marriage & Family Therapist
- Ashland, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1147
- Practice address
- Memorial Medical Center Inc
1635 Maple Lane
Ashland, WI 54806-3610 - Phone
- (715) 585-5400
- Fax
- (715) 685-5102
- NPI assigned
- Aug 22, 2006
- Last updated
- Mar 24, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1615 | MN | |
| Marriage & Family Therapist | 106H00000X | 1147 | WI | Primary |
Addresses
Primary practice location
Memorial Medical Center Inc
1635 Maple Lane
Ashland, WI 54806-3610
Mailing address
Memorial Medical Center Inc
1635 Maple Lane
Ashland, WI 54806-3610
Phone (715) 585-5400
Other practice location 1
9000 W Wisconsin Ave Ste 240
Milwaukee, WI 53226-4874
Phone (414) 337-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000006920 | Medicaid | WI |
Other names 1
- Mrs. Heidi Kahlstorf Harvey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Maple LN
Ashland, WI 54806-3626
Phone (715) 682-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1147 | WI | MD | Marriage & Family Therapist |
| 1615 | MN | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients |
Locations
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
1635 Maple Ln
Ashland, WI 54806
Phone (715) 685-5400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tamarack Health Ashland Medical Center
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
dba Tamarack Health Ashland Clinic
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tamarack Health Ashland Medical Center
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1437265113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEMORIAL MEDICAL CENTER INC",
"address_2": "1635 MAPLE LANE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063610",
"telephone_number": "715-585-5400",
"fax_number": "715-685-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEMORIAL MEDICAL CENTER INC",
"address_2": "1635 MAPLE LANE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063610",
"telephone_number": "715-585-5400",
"fax_number": "715-685-5102"
}
],
"practiceLocations": [
{
"address_1": "9000 W Wisconsin Ave Ste 240",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532264874",
"country_code": "US",
"telephone_number": "414-337-3400",
"fax_number": "414-337-3409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAHLSTORF",
"first_name": "HEIDI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1615",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "1147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000006920",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "HARVEY",
"middle_name": "KAHLSTORF",
"prefix": "MRS.",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.