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TABITHA KB HEIDORN
NPI 1275818247
Counselor - Mental Health in Lexington, MA

Active since October 20, 2011
1040 WALTHAM ST, LEXINGTON, MA 02421(781) 761-5077 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tabitha Kb Heidorn NPPES

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

TABITHA KB HEIDORN (NPI 1275818247) is an individual mental health provider in Lexington, Massachusetts and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1275818247
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTABITHA KB HEIDORN
Location Address1040 WALTHAM STLexington, MA 02421-8033
Mailing Address1040 Waltham StLexington, MA 02421-8033 · (781) 761-5077
Phone(781) 761-5077
Sole ProprietorNo
Enumeration DateOctober 20, 2011
✔ NPI 1275818247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1040 WALTHAM ST, Lexington, MA 02421
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Other Identifiers 7

OtherM18633MA · Bcbs
Other99618201MA · Network Health
Other042611055MA · Tax Id
Other1303287MA · Mbhp
Other0000023532MA · Bmc
Other1004745MA · Nhp
Medicaid1303287MA

Other Providers at the Same Location NPPES 20

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

DENISE MOYO MSW
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5165
MR. KYLE COMBS
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (774) 262-2868
MISS FRANCESCA CAROLINA PERSSON
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5057
MONIQUE MITCHELL
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5165
ASHLEY POIRIER
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5077
DIANA AGATHA NANTONGO MA, LMHC
Counselor (Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5077
MRS. CAROLYN ANN CLAIBORNE
Registered Nurse (Psychiatric/Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 862-3600
ASHLEY SMITH RN
Registered Nurse (Psychiatric/Mental Health)
1040 WALTHAM ST
LEXINGTON, MA 02421
Middlesex County (781) 761-5121

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 Tabitha Heidorn's NPI number?

The NPI number for Tabitha Heidorn is 1275818247. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Tabitha Heidorn located?

Tabitha Heidorn practices at 1040 Waltham St, Lexington, MA 02421. The listed phone number is (781) 761-5077.

What is Tabitha Heidorn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tabitha Heidorn was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.