Katelyn Schwennen PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KATELYN SCHWENNEN PLLC

Practice address

112 Shoshone St E Ste 210
Twin Falls, ID 83301-6185

Phone

(208) 802-7780

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Katelyn Mary Schwennen, LCSWNPI 1336554443

Title

Owner/Provider

Phone

(208) 802-7780

Specialties & licenses 1

Addresses

Other names 1

• Cactus Bloom Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katelyn Mary Schwennen, LMSW

  • Clinical Social Worker
  • Twin Falls, ID
  • NPI 1336554443
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1972287399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SHOSHONE ST E STE 210",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016185",
            "telephone_number": "208-802-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SHOSHONE ST E STE 210",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016185",
            "telephone_number": "208-802-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATELYN SCHWENNEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "SCHWENNEN",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-802-7780",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cactus Bloom Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rod D Kack, MD
• Gregory John Kadlec, MD
• Pat M Kaes
• Diana Kamenova, LSW
• Rachel Kaschmitter, LCSW
• Joan Kauffman, LCPC
• Charles R Kaufman, PH.D.
• John Kaufman
• Richard Brian Keene, PHD
• Coreen Wistisen Keller, MPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.