Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Kostohryz, LPC

Individual provider Professional Counselor · NPI 1417801820

Heather Kostohryz, LPC is a Mental Health Counselor in Moorhead, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota and North Dakota.

Years since qualifying
1
Licensed in
MN, ND
In the registry since
2026
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

815 37th Ave S
Moorhead, MN 56560-5524
Phone: (701) 451-4811
Fax: (651) 925-0057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3267 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 1521-1-15-26A (ND)

Record details

NPI number1417801820
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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