Active NPI
Heidi Reishus
- Professional Counselor
- Noxon, MT
National Provider Identifier
1679979355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- SWP-LCPC-LIC-1430
- 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
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 |
|---|---|---|---|---|
| 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, ID
- 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 |
|---|---|---|---|
| MHK.LH.70026072 | WA | MD | Mental Health Counselor |
| SWP-LCPC-LIC-1430 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; 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.