Individual provider Active NPI

Heather Guthrie, LCSW, LICSW, QMHP

  • Clinical Social Worker
  • Warrenton, OR
National Provider Identifier
1902862659
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7738 Issued in OR
Practice address
1523 SE Honeysuckle Loop
Warrenton, OR 97146-7418
Phone
(541) 961-4226
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X L7738 OR
Mental Health Counselor 101YM0800X LW61459551 WA
Clinical Social Worker 1041C0700X CSW993070 CO
Clinical Social Worker 1041C0700X L7738 OR Primary

Addresses

Primary practice location

1523 SE Honeysuckle Loop
Warrenton, OR 97146-7418

Mailing address

PO Box 1337
Astoria, OR 97103-1337
Phone (541) 961-4226

Other identifiers 3

IdentifierTypeStateIssuer
0583984MedicaidCO
500748340MedicaidOR
R219077OtherORMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather@heatherguthrielcsw.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060516000016 CO Practitioner - Clinical Social Worker 8628089117 Practice locations: Castle Pines, CO
I20180823003200 OR Practitioner - Clinical Social Worker 8628089117 Reassigns benefits to 6 organizations
Practice locations: Warrenton, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61459551WAMDMental Health Counselor
CSW993070COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Preferred Provider Services, LLC PastSince Jan 1, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heatherguthrie@tdh.allscriptsdirect.net

Organizations & group practices 10

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1902862659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971031337",
            "telephone_number": "541-961-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 SE HONEYSUCKLE LOOP",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971467418",
            "telephone_number": "541-961-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "HEATHER",
        "credential": "LCSW, LICSW, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L7738",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW61459551",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW993070",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0583984",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500748340",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R219077",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather@heatherguthrielcsw.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Related Health Information Coordination of Care",
            "address_1": "1523 SE Honeysuckle Loop",
            "city": "Warrenton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971467418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrenton, OR

Sources for this page

Verify at the official NPI Registry.