Individual provider Active NPI

Heidi Louise McKinney, MMFT

  • Marriage & Family Therapist
  • Vancouver, WA
National Provider Identifier
1861613622
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60669094 Issued in WA
Practice address
100 E 33Rd St
Vancouver, WA 98663-2776
Phone
(360) 514-7550
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60669094 WA Primary

Addresses

Primary practice location

100 E 33Rd St
Vancouver, WA 98663-2776

Mailing address

207 Tyne Blvd.
Old Hickory, TN 37138
Phone (615) 758-9342

Other practice location 1

2745 North Mount Juliet Road
Mount Juliet, TN 37122
Phone (615) 754-5853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240103003599 WA Practitioner - Marriage and Family Therapist 6901257906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9739092065, 101 clinicians

Practice addresses (Care Compare)

100 E 33Rd St
Suite 100
Vancouver, WA 98663-2776
Phone (360) 256-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LF60669094WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jan 1, 2024 Accepting new patients
Peacehealth CurrentSince Jan 1, 2024 Accepting new patients

Locations

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

100 E 33rd St
Vancouver, WA 98663
Phone (360) 514-7550

100 E 33rd St
Ste 100
Vancouver, WA 98663
Phone (360) 514-7550

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1861613622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TYNE BLVD.",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "37138",
            "telephone_number": "615-758-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 33RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632776",
            "telephone_number": "360-514-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2745 North Mount Juliet Road",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "37122",
            "country_code": "US",
            "telephone_number": "615-754-5853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "HEIDI",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60669094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.