Individual provider Active NPI

Heather L Allen, PSYD

  • Psychologist
  • Lincoln City, OR
National Provider Identifier
1457897142
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3894 Issued in OR
Practice address
2870 NE West Devils Lake Rd
Lincoln City, OR 97367-5127
Phone
(541) 994-9191
NPI assigned
Jan 18, 2017
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X 3894 OR Primary
Psychologist 103T00000X PY61161855 WA
Clinical Psychologist 103TC0700X PY61161855 WA
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2870 NE West Devils Lake Rd
Lincoln City, OR 97367-5127

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

2018 Western Ave
Knoxville, TN 37921-5718
Phone (865) 544-0406 ext. 4340

Other practice location 2

414 N Meridian St
RC 104
Newberg, OR 97132-2697
Phone (503) 554-2370

Other practice location 3

1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520

Other identifiers 3

IdentifierTypeStateIssuer
2184266MedicaidWA
500725172MedicaidOR
0441702OtherWALABOR AND INDUSTRIES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hallen324923@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210910001198 WA Practitioner - Clinical Psychologist 3072919497 Reassigns benefits to 1 organization
I20250612003222 OR Practitioner - Clinical Psychologist 3072919497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan North Lincoln HospitalGroup PAC ID 7911816301, 42 clinicians

Practice addresses (Care Compare)

2870 NE W Devils Lake Rd
Lincoln City, OR 97367-5127

825 NW Hwy 101
Lincoln City, OR 97367-3241
Phone (541) 996-7840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan North Lincoln Hospital CurrentSince Jul 14, 2025 Accepting new patients
Community Health of Central Washington CurrentSince Oct 18, 2021 Accepting new patients
Community Health of Central Washington CurrentSince Oct 18, 2021 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jul 14, 2025 Accepting new patients

Locations

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

2870 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (503) 994-9191

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

Interoperability endpoints

  • Direct secure messaging: hallen324923@samhealth.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1457897142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675127",
            "telephone_number": "541-994-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379215718",
            "country_code": "US",
            "telephone_number": "865-544-0406 x4340",
            "fax_number": "865-544-0480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 N Meridian St",
            "address_2": "RC 104",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971322697",
            "country_code": "US",
            "telephone_number": "503-554-2370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022473",
            "country_code": "US",
            "telephone_number": "509-452-4520",
            "fax_number": "509-452-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3894",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61161855",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61161855",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184266",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500725172",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0441702",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hallen324923@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "2870 NE West Devils Lake Rd",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973675127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.