Active NPI
Karen Hendren, LCSW
- Counselor
- Kamiah, ID
National Provider Identifier
1477937316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 34971
- Practice address
- 611 4TH Street
Kamiah, ID 83536-1769 - Phone
- (208) 413-1200
- Fax
- (208) 983-7652
- NPI assigned
- Jul 9, 2015
- Last updated
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 34971 | ID | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
611 4TH Street
Kamiah, ID 83536-1769
Mailing address
PO Box 504
Kooskia, ID 83539-0504
Phone (208) 413-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34971 | ID | MD | Counselor |
Interoperability endpoints
- karenh@nimiipuuhealth.directbygreenway.com
Organizations & group practices 1
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 (DBA) Nimiipuu Health
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Lapwai, ID
- NPI 1790795888
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1477937316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"city": "KOOSKIA",
"state": "ID",
"postal_code": "835390504",
"telephone_number": "208-413-1200",
"fax_number": "208-935-7652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 4TH STREET",
"city": "KAMIAH",
"state": "ID",
"postal_code": "835361769",
"telephone_number": "208-413-1200",
"fax_number": "208-983-7652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDREN",
"first_name": "KAREN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "34971",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamiah, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.