Individual provider · Type 1 NPI

Kallyn Heiges, LPC

Professional Counselor · Port Washington, WI

NPI number 1205608494 Active

Practice location

1317 W Grand Ave Ste 6
Port Washington, WI 53074-2075

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice locations

  • 2500 E Enterprise Ave Ste B, Appleton, WI 54913-8556 · (920) 416-8577

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X12067-125 (WI)
Clinical Psychologist 103TC0700X5098-226 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1205608494

Kallyn Heiges, LPC's National Provider Identifier is 1205608494, issued on Oct 23, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Port Washington, WI. The record was last updated on Jan 29, 2026.