Active NPI
Mathew Heindel
- Marriage & Family Therapist
- Meridian, ID
National Provider Identifier
1740901875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-3806
- Practice address
- 1820 S. Eagle Road
Meridian, ID 83642 - Phone
- (208) 855-9301
- NPI assigned
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-3806 | ID | Primary |
Addresses
Primary practice location
1820 S. Eagle Road
Meridian, ID 83642
Mailing address
PO Box 1232
Meridian, ID 83680-1232
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | matt@hhtreatmentprograms.com | Direct |
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 |
|---|---|---|---|
| LMFT-3806 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1740901875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1232",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836801232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 S. EAGLE ROAD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-855-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINDEL",
"first_name": "MATHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT-3806",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "matt@hhtreatmentprograms.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "phone",
"address_1": "1820 S. Eagle Road",
"city": "Meridian",
"state": "ID",
"country_code": "US",
"postal_code": "83642",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.