DR. HEIDI RACHELLE TENNYSON PSY.D.
NPI 1043404064
Psychologist - Clinical in Centralia, WA

Active since September 03, 2007PECOS EnrolledAccepts Medicare Assignment
1505 SHAKESPEARE DR, CENTRALIA, WA 98531(360) 360-5044(360) 360-2362 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2025, Jul 30, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Heidi Rachelle Tennyson Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HEIDI RACHELLE TENNYSON PSY.D. (NPI 1043404064) is an individual clinical provider in Centralia, Washington, licensed in Washington (PY60217255) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1043404064
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HEIDI RACHELLE TENNYSONCredential: PSY.D.
Location Address1505 SHAKESPEARE DRCentralia, WA 98531-8501
Mailing Address1121 Harrison Ave # 269Centralia, WA 98531-1852 · (360) 360-5044 · Fax (360) 360-2362
Fax(360) 360-2362
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 3, 2007
Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1043404064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in WA · PY60217255 Licensed in ID · PSY203058
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1505 SHAKESPEARE DR, Centralia, WA 98531

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Heidi Rachelle Tennyson Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163698143
PECOS Enrollment IDI20111221000313, I20170828004796
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1505 SHAKESPEARE DR
CENTRALIA, WA 98531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Tennyson's NPI number?

The NPI number for Heidi Tennyson is 1043404064. It was assigned to this individual provider in the NPPES registry on September 3, 2007.

Where is Heidi Tennyson located?

Heidi Tennyson practices at 1505 Shakespeare Dr, Centralia, WA 98531. The listed phone number is (360) 360-5044.

What is Heidi Tennyson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Heidi Tennyson enrolled in Medicare?

Yes. Heidi Tennyson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heidi Tennyson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Select Health list Heidi Tennyson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heidi Tennyson was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.