HEATHER KIPPEN LCSW PLLC NPI 1427618446

NPI Information

NPI: 1427618446
Provider Name: HEATHER KIPPEN, LCSW, PLLC

Doing Business As: JUST BREATHE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
600 22ND AVE NW STE 1
MINOT, ND
ZIP 58703
Phone: (701) 839-3909
Get Directions

HEATHER KIPPEN, LCSW, PLLC is a mental health (including community mental health center) clinic center in Minot, ND. HEATHER KIPPEN, LCSW, PLLC NPI is 1427618446. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Just Breathe.

The provider's business location address is:

600 22ND AVE NW STE 1
MINOT, ND
ZIP 58703-986
Phone: (701) 839-3909
Fax: (701) 839-9071

The provider's authorized official is Heather D Kippen .
The authorized official title is Individual/family Therapist and has the following contact phone number (701) 839-3909.

The enumeration date for this NPI number is 6/20/2019 and was last updated on 1/4/2024.

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	1041C0700X	Social Worker	Clinical			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	1462801	MEDICAID	NORTH DAKOTA
2	1477897	MEDICAID	NORTH DAKOTA

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: 5/5/2024

NPI Synchronization or Removal

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