AMY SUZANNE HEIDECKER LMHC LCPC NPI 1205236841

NPI Information

NPI: 1205236841
Provider Name: AMY SUZANNE HEIDECKER, LMHC, LCPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
728 S MAIN ST
KALISPELL, MT
ZIP 59901
Phone: (406) 885-3604
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Amy Suzanne Heidecker, LMHC, LCPC is a counselor in Kalispell, MT. The provider is 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. Amy Suzanne Heidecker, LMHC, LCPC NPI is 1205236841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

728 S MAIN ST
KALISPELL, MT
ZIP 59901-342
Phone: (406) 885-3604

The enumeration date for this NPI number is 9/2/2014 and was last updated on 4/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	BBH-LCPC-LIC50714	MONTANA	No
2	101YM0800X	Counselor	Mental Health	LH60851405	WASHINGTON	No
3	101Y00000X	Counselor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BBH-LCPC-LIC-50714	OTHER	MONTANA	MONTANA STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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