Individual provider Active NPI

Heidi Lynn Rogers, LCSW, ACADC

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1689227878
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8911164 Issued in ID
Practice address
847 Parkcentre Way Ste 3
Nampa, ID 83651-1794
Phone
(208) 901-8192
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8911164 ID Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5085 ID
Addiction (Substance Use Disorder) Counselor 101YA0400X 13033 ID

Addresses

Primary practice location

847 Parkcentre Way Ste 3
Nampa, ID 83651-1794

Mailing address

6701 Airport Rd
Nampa, ID 83687-8656
Phone (208) 249-7894

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

LicenseStateTypeSpecialty
13033IDMDAddiction (Substance Use Disorder) Counselor
5085IDMDAddiction (Substance Use Disorder) Counselor
8911164IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Living Recovery LLC CurrentSince Dec 7, 2025 Accepting new patients
Restoring Hope - Healing From Trauma and Addiction PastSince Oct 8, 2023 Accepting new patients

Locations

847 Parkcentre Way
Ste 3
Nampa, ID 83651
Phone (208) 901-8192

Organizations & group practices 2

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1689227878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878656",
            "telephone_number": "208-249-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARKCENTRE WAY STE 3",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511794",
            "telephone_number": "208-901-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "credential": "LCSW, ACADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8911164",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "5085",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "13033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.