Individual ProviderHeidi Beth KossCounselorBehavioral Health & Social Service ProvidersPractice Address13128 Totem Lake Blvd NE, Suite 206, Kirkland, WA 98034-2953(425) 821-1810PECOS EnrollmentBased on the most recent information from CMS, provider Heidi Beth Koss does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083853592Provider TypeIndividualFull NameKoss, Heidi BethTitleMs.CredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date2/8/2009Last Updated5/28/2014Contact InformationPractice LocationPractice Address13128 Totem Lake Blvd NE, Suite 206, Kirkland, WA 98034-2953Phone(425) 821-1810Fax(425) 823-1231Mailing LocationMailing Address13128 Totem Lake Blvd NE, Suite 206, Kirkland, WA 98034-2953Phone(425) 821-1810Fax(425) 823-1231Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH 60334364Washington