KATHRYN R HEYDORN
NPI 1871005108
Counselor in Nampa, ID

Active since October 26, 2017
7714 E WILLARD DR, NAMPA, ID 83687(208) 810-1276(208) 895-8049 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 13, 2020, Dec 20, 2018, Oct 26, 2017 (3 updates tracked since 2017).

About Kathryn R Heydorn NPPES

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

KATHRYN R HEYDORN (NPI 1871005108) is an individual counselor in Nampa, Idaho, licensed in Washington (MC60789946) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1871005108
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATHRYN R HEYDORN
Location Address7714 E WILLARD DRNampa, ID 83687-8252
Mailing Address7714 E Willard DrNampa, ID 83687-8252 · (208) 810-1276 · Fax (208) 895-8049
Fax(208) 895-8049
Sole ProprietorYes
Enumeration DateOctober 26, 2017
Last NPPES UpdateFebruary 14, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
NPI 1871005108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · MC60789946
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MG60789946 (WA)
7714 E WILLARD DR, Nampa, ID 83687

Other Identifiers 1

Other1871005108Npi

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871005108, enumerated as an "individual" on October 26, 2017.

The provider is located at 7714 E WILLARD DR NAMPA, ID 83687 and the phone number is (208) 810-1276.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.