Lisa Elaine Heiden-Kimball, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001375 Issued in IA

Practice address

3641 Kimball Ave Ste 102
Waterloo, IA 50702-5757

Phone

(319) 214-0011

Fax

(888) 817-5518

NPI assigned

Jan 14, 2011

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 7, 2024 through Jan 7, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lisa HK Counseling PLLC

  • Mental Health Counselor
  • Waterloo, IA
  • NPI 1942170980
  NPD Authorized official
• Black Hawk-Grundy Mental Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
  • NPI 1316944598
  NPD (past)

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1538464938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 KIMBALL AVE STE 102",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025757",
            "telephone_number": "319-214-0011",
            "fax_number": "888-817-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 KIMBALL AVE STE 102",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025757",
            "telephone_number": "319-214-0011",
            "fax_number": "888-817-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEN-KIMBALL",
        "first_name": "LISA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074435",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hearing Unlimited LLC (Black Hawk Hearing Aid Center)
• Heartland Laboratories Inc (Tom Leisure Prosthetics)
• Heartland Neurosurgical Services PLLC
• Mary Margaret Heatley, PA-C
• Kathryn Ann Heetland, ARNP
• Corinne Heiman, BCBA, LBA
• Brittney Michelle Heims, ARNP, FNP-BC
• Jonathan P Heine, PT
• Amber Lynn Heller, NP
• Helm Counseling & Associates

• Mental Health Counselor in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.