Individual provider Active NPI

Heidi Lynn Kahlstorf, LMFT

  • Marriage & Family Therapist
  • Ashland, WI
National Provider Identifier
1437265113
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1147 Issued in WI
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1000006920MedicaidWI

Other names 1

  • Mrs. Heidi Kahlstorf Harvey Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311000748 WI Practitioner - Marriage and Family Therapist 7911343199 Reassigns benefits to 2 organizations

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
Memorial Medical Center IncGroup PAC ID 8022000447, 80 clinicians

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

LicenseStateTypeSpecialty
1147WIMDMarriage & Family Therapist
1615MNMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center Inc CurrentSince Jan 14, 2024 Accepting new patients
Memorial Medical Center Inc CurrentSince Jan 14, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.