HEIDI JO HATHAWAY PSYD, LP
NPI 1780755256
Psychologist - Clinical in Brooklyn Center, MN

Q: What is Heidi Hathaway's NPI number?

The NPI number for Heidi Hathaway is 1780755256. It was assigned to this individual provider in the NPPES registry on November 13, 2006. The provider is also known as Heidi Jo Reuteler-Barnes.

Q: What is Heidi Hathaway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heidi Hathaway was last updated on February 2, 2023. 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.

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment

6200 SHINGLE CREEK PKWY STE 350, BROOKLYN CENTER, MN 55430(763) 503-8560(763) 503-8563 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, Feb 27, 2017 (2 updates tracked since 2017).

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About Heidi Jo Hathaway Psyd, Lp NPPES

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

HEIDI JO HATHAWAY PSYD, LP (NPI 1780755256) is an individual clinical provider in Brooklyn Center, Minnesota, licensed in Minnesota (LP3930) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1780755256

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameHEIDI JO HATHAWAYCredential: PSYD, LP

Location Address6200 SHINGLE CREEK PKWY STE 350Brooklyn Center, MN 55430-2155

Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496

Phone(763) 503-8560

Fax(763) 503-8563

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateNovember 13, 2006

Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1780755256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP3930

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.

6200 SHINGLE CREEK PKWY STE 350, Brooklyn Center, MN 55430

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Other Names 1

Former Name (1)Heidi Jo Reuteler-barnes

Secondary Practice Location 1

Location 14027 County Road 25Minneapolis, MN 55416-2629 · Phone (612) 925-6033 · Fax (612) 925-8496

Other Identifiers 4

Other123494MN · Ucare

Other61-34863MN · Medica

Medicaid050385100FM

Other11R21REMN · Bluecrossblueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.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

Heidi Jo Hathaway Psyd, Lp 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 ID6204902240

PECOS Enrollment IDI20080827000592

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 55430 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 4

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

AMY PATRICE KUUSISTO-LATHROP MSW, LICSW

Social Worker (Clinical)

6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN 55430

Hennepin County (763) 503-8560

WHITNEY MARIE MCELHONE MS, LPCC

Counselor (Professional)

6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN 55430

Hennepin County (763) 503-8560

JACKLINE MONYANGI MORIASI MSN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN 55430

Hennepin County (763) 503-8560

KIMBERLY JEAN OFTEDAHL-BROOKS MSW, LICSW

Social Worker (Clinical)

6200 SHINGLE CREEK PKWY STE 350
BROOKLYN CENTER, MN 55430

Hennepin County (763) 503-8560

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 Hathaway's NPI number?

The NPI number for Heidi Hathaway is 1780755256. It was assigned to this individual provider in the NPPES registry on November 13, 2006. The provider is also known as Heidi Jo Reuteler-Barnes.

Where is Heidi Hathaway located?

Heidi Hathaway practices at 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430. The listed phone number is (763) 503-8560.

What is Heidi Hathaway's specialty?

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

Is Heidi Hathaway enrolled in Medicare?

Yes. Heidi Hathaway 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 Hathaway accept?

Health plans from HealthPartners and Providence Health Plan list Heidi Hathaway 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 Hathaway was last updated on February 2, 2023. 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.