Annie Lynne Heiderscheit, PH.D., MT-BC, FAMI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2301 Issued in MN

Practice address

1660 Highway 100 S
Suite 250
St Louis Park, MN 55416-1529

Phone

(612) 741-1182

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Annette Lynne Heiderscheit Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1487863874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 250",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "612-741-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 250",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "612-741-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDERSCHEIT",
        "first_name": "ANNIE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PH.D., MT-BC, FAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "HEIDERSCHEIT",
            "middle_name": "LYNNE",
            "prefix": "DR.",
            "credential": "PH.D., LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael B Hebert, M.D.
• Devin Hedlund, MD
• Brittney L Hegg, RDN
• Melissa Ann Hegland-Smith, MA
• Hailey Hegland, PHD
• Ethan Jon Heidorn, PHARMD
• Thomas Heifner
• Katherine K Heikes
• Michael J Hein, CRNA
• Araya Heinen

• Marriage & Family Therapist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.