Kathryn R Heydorn

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MC60789946 Issued in WA

Practice address

7714 E Willard Dr
Nampa, ID 83687-8252

Phone

(208) 810-1276

Fax

(208) 895-8049

NPI assigned

Oct 26, 2017

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1871005108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 E WILLARD DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878252",
            "telephone_number": "208-810-1276",
            "fax_number": "208-895-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 E WILLARD DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878252",
            "telephone_number": "208-810-1276",
            "fax_number": "208-895-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDORN",
        "first_name": "KATHRYN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60789946",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MG60789946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871005108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Herrell, DC
• Jennifer Herrera
• Barbara Herrington, M.A., CCC-S
• Madison Hesse
• Samuel Timothy Hetherington, DPT
• Scott R Hiatt, D.O.
• Heather Ann Hieb, LCPC
• High Valley Developmental
• Marilyn Nmi Hiller, LCSW-32496
• Michelle Hillman, BCBA

• Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.