Individual provider Active NPI

Heidi Jorgensen, MS, LMFT, LPC

  • Marriage & Family Therapist
  • Meridian, ID
National Provider Identifier
1952451734
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-2868 Issued in ID
Practice address
2971 E Copper Point Dr Ste 100
Meridian, ID 83642-9276
Phone
(208) 376-5683
Fax
(208) 376-5690
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-2653 ID
Marriage & Family Therapist 106H00000X LMFT-2868 ID Primary

Addresses

Primary practice location

2971 E Copper Point Dr Ste 100
Meridian, ID 83642-9276

Mailing address

2971 E Copper Point Dr Ste 100
Meridian, ID 83642-9276
Phone (208) 376-5683

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-2653IDMDProfessional Counselor
LMFT-2868IDMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1952451734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 E COPPER POINT DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429276",
            "telephone_number": "208-376-5683",
            "fax_number": "208-376-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 E COPPER POINT DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429276",
            "telephone_number": "208-376-5683",
            "fax_number": "208-376-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-2653",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-2868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 29, 2011; 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.