MS. KALLYN HEIGES LPC
NPI 1205608494
Counselor - Professional in Port Washington, WI

Active since October 23, 2023PECOS EnrolledAccepts Medicare Assignment
1317 W GRAND AVE STE 6, PORT WASHINGTON, WI 53074(262) 427-8905 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 29, 2026, Oct 23, 2023 (2 updates tracked since 2023).

About Ms. Kallyn Heiges Lpc NPPES

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

MS. KALLYN HEIGES LPC (NPI 1205608494) is an individual professional provider in Port Washington, Wisconsin, licensed in Wisconsin (12067-125) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Appleton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205608494
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KALLYN HEIGESCredential: LPC
Location Address1317 W GRAND AVE STE 6Port Washington, WI 53074-2075
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 23, 2023
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1205608494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 12067-125
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 5098-226 (WI)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
1317 W GRAND AVE STE 6, Port Washington, WI 53074

Secondary Practice Location 1

Location 12500 E Enterprise Ave Ste BAppleton, WI 54913-8556 · Phone (920) 416-8577 · Fax (920) 416-8571

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

Ms. Kallyn Heiges Lpc 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 ID4688153588
PECOS Enrollment IDI20260211000474
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.

Other Providers at the Same Location NPPES 12

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

Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Nurse Practitioner (Psychiatric/Mental Health)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205608494, enumerated as an "individual" on October 23, 2023.

The provider is located at 1317 W GRAND AVE STE 6 PORT WASHINGTON, WI 53074 and the phone number is (262) 427-8905.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource. Please consult your insurance carrier or call the provider to verify.