Active NPI
Kristi Lynn Heisterman
- Mental Health Counselor
- St George, UT
National Provider Identifier
1659715845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8969585-6004
- Practice address
- 377 E Riverside Dr Ste B
St George, UT 84790-4749 - Phone
- (435) 862-8273
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | 8969585-6004 | UT | Primary |
Addresses
Primary practice location
377 E Riverside Dr Ste B
St George, UT 84790-4749
Mailing address
5965 S 900 E
Salt Lake City, UT 84121-1720
Phone (801) 263-7100
Other practice location 1
275 W 100 S
Delta, UT 84624-9238
Phone (866) 520-0905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8969585-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Associates, PC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- St George, UT
- NPI 1578703468
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1659715845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841211720",
"telephone_number": "801-263-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 E RIVERSIDE DR STE B",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904749",
"telephone_number": "435-862-8273"
}
],
"practiceLocations": [
{
"address_1": "275 W 100 S",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "UT",
"postal_code": "846249238",
"country_code": "US",
"telephone_number": "866-520-0905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEISTERMAN",
"first_name": "KRISTI",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "8969585-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.