Kourtney Nicole Hearn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

212183 Issued in AK

Practice address

1689 S Knik Goose Bay Rd Ste 700
Wasilla, AK 99654-8088

Phone

(907) 841-8663

Fax

(907) 357-0115

NPI assigned

Nov 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kourtney Nicole Straight Former name

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer Byers Anp LLCGroup PAC ID 1658704846, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jennifer Byers Anp LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wasilla, AK
  • NPI 1316597412
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1952068785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 S KNIK GOOSE BAY RD STE 700",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548088",
            "telephone_number": "907-841-8663",
            "fax_number": "907-357-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 S KNIK GOOSE BAY RD STE 700",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548088",
            "telephone_number": "907-841-8663",
            "fax_number": "907-357-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "KOURTNEY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "212183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOURTNEY",
            "last_name": "STRAIGHT",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Lynn Hazen
• Kayla Head, M.S., CCC-SLP
• Healing Touch Home Care LLC
• Health Lab LLC
• Health Quest Therapy, Inc.
• Hearts & Hands of Care
• Heather Brock, Inc
• Autumn Hedgepeth, BHS
• Craig Bruce Hediger, DC
• Kurt Wayne Hediger, D.C.

• Clinical Social Worker in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.