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MS. LISETTE T HEIDTKE LPC
NPI 1386155356
Counselor - Professional in Portland, OR

Active since October 18, 2017
2120 NE 12TH AVE, PORTLAND, OR 97212(269) 598-5152(208) 834-3164 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2022, Apr 22, 2022, Apr 16, 2022 and 2 more (5 updates tracked since 2017).

About Ms. Lisette T Heidtke Lpc NPPES

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

MS. LISETTE T HEIDTKE LPC (NPI 1386155356) is an individual professional provider in Portland, Oregon, licensed in Oregon (C6716) and active in the NPI registry since October 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386155356
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LISETTE T HEIDTKECredential: LPC
Location Address2120 NE 12TH AVEPortland, OR 97212-4306
Mailing Address3055 Nw Yeon Ave, Pmb 400Portland, OR 97210-1519 · (269) 598-5152 · Fax (208) 834-3164
Phone(269) 598-5152
Fax(208) 834-3164
Sole ProprietorYes
Enumeration DateOctober 18, 2017
Last NPPES UpdateOctober 26, 20225 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1386155356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C6716
Also ListedCounselorTaxonomy 101Y00000X · License C6716 (OR)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C6716 (OR)
2120 NE 12TH AVE, Portland, OR 97212
Open in Google Maps ↗

Secondary Practice Locations 2

Location 120025 Mossy Meadows AveOregon City, OR 97045-7136 · Phone (503) 496-0207 · Fax (503) 496-0349
Location 211458 SE McEachron AveMilwaukie, OR 97222-1264 · Phone (503) 305-6296 · Fax (503) 387-5279

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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 Lisette Heidtke's NPI number?

The NPI number for Lisette Heidtke is 1386155356. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Where is Lisette Heidtke located?

Lisette Heidtke practices at 2120 NE 12th Ave, Portland, OR 97212. The listed phone number is (269) 598-5152.

What is Lisette Heidtke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Lisette Heidtke accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lisette Heidtke 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 Lisette Heidtke was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.