Individual provider Active NPI

Heidi Reishus

  • Professional Counselor
  • Noxon, MT
National Provider Identifier
1679979355
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SWP-LCPC-LIC-1430 Issued in MT
Practice address
3 Pilgrim Creek Rd
Noxon, MT 59853-9721
Phone
(208) 304-0376
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHK.LH.70026072 WA
Professional Counselor 101YP2500X SWP-LCPC-LIC-1430 MT Primary

Addresses

Primary practice location

3 Pilgrim Creek Rd
Noxon, MT 59853-9721

Mailing address

3 Pilgrim Creek Rd
Noxon, MT 59853-9721
Phone (208) 304-0376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ID2 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
I20250117002443 MT Practitioner - Mental Health Counselor 7214466333 Practice locations: Noxon, MT
I20250422000612 ID Practitioner - Mental Health Counselor 7214466333 Reassigns benefits to 1 organization
Practice locations: Sagle, ID

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHK.LH.70026072WAMDMental Health Counselor
SWP-LCPC-LIC-1430MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients

Locations

950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

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.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1679979355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PILGRIM CREEK RD",
            "city": "NOXON",
            "state": "MT",
            "postal_code": "598539721",
            "telephone_number": "208-304-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PILGRIM CREEK RD",
            "city": "NOXON",
            "state": "MT",
            "postal_code": "598539721",
            "telephone_number": "208-304-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISHUS",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHK.LH.70026072",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "SWP-LCPC-LIC-1430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noxon, MT

Sources for this page

Verify at the official NPI Registry.