SUSAN HAAG (NPI# 1194262311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194262311 |
| Entity Type | Individual |
| Full Name | SUSAN HAAG |
| Credential | LPC |
| Practice Address |
4464 S Dixie Hwy Middletown OH 45005-5464 |
| Practice Telephone | 5136498008 |
| Practice Fax Number | 5136498004 |
| Mailing Telephone | 5136498008 |
| Mailing Fax Number | 5136498004 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.0900375 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICAID-ODADAS | 0074861 | 01 |
| OH | CARF CERTIFICATION | 01-0693 | 01 |
| OH | MEDICARE GROUP PTAN | H130910 | 01 |
| OH | MEDICAID-ODMH | 0074946 | 01 |
| Street Address |
4464 S DIXIE HWY |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45005-5464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679526321 | Brandy J Slavens | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2006-05-17 |
| 1811598964 | Jamie Kleiner | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-11-05 |
| 1750989562 | Betsy Singer-lefton | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-10-14 |
| 1932707742 | David Jablonka | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-10-14 |
| 1457968877 | Samantha Rowe | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-29 |
| 1356956353 | Elizabeth Bremenkamp | Social Worker | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-15 |
| 1659986446 | Jillian Feazel | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-09 |
| 1487265641 | Katelyn Atkinson | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-08-12 |
| 1457979437 | Paige Stafford | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-07-07 |
| 1801418488 | Shannon Gill | Case Manager/Care Coordinator | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053835058 | Cei Physicians P.s.c., LLC | Clinic/Center | 5950 Innovation Dr, Franklin, OH 45005 | 2017-08-01 |
| 1356703367 | Shawnta Wagner-jenkins | Nurse Practitioner | 3240 Towne Blvd, Middletown, OH 45005 | 2016-03-28 |
| 1801279781 | Latania Thomas | Social Worker | 3481 S Dixie Hwy 162, Franklin, OH 45005 | 2015-07-09 |
| 1285026088 | Expert Hearing Clinic, LLC | Hearing Aid Equipment | 8401 Claude Thomas Rd Suite 27, Franklin, OH 45005 | 2015-03-03 |
| 1689062440 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 100 Kettering Way, Franklin, OH 45005 | 2015-01-02 |
| 1972907186 | Talbert House Health Center | Clinic/Center | 333 Conover Dr Ste D, Franklin, OH 45005 | 2014-10-17 |
| 1427347194 | Savio M Kumar | Internal Medicine | 200 Medical Center Dr Ste 360, Middletown, OH 45005 | 2011-04-04 |
| 1467782169 | Darcy Joann Thompson | Licensed Practical Nurse | 139 Boulder Dr., Franklin, OH 45005 | 2010-01-04 |
| 1912132028 | John F Waters | Nurse Practitioner | 8401 Claude Thomas Rd Ste 21d, Franklin, OH 45005 | 2009-05-18 |
| 1528201688 | Amy Michelle Renshaw | Obstetrics & Gynecology | 200 Medical Center Dr Ste 200, Middletown, OH 45005 | 2009-04-19 |
| Find all providers in zip 45005 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225641210 | Channel Malissa Reeder | Counselor | 31 Meadow View Dr, Middletown, NY 10940-3358 | 2020-08-28 |
| 1285244889 | Jenna D Howard | Counselor | 832 Guthrie Cir, Middletown, DE 19709-9977 | 2020-08-07 |
| 1952910150 | Tiyahna Miles | Counselor | 336 Liborio Dr, Middletown, DE 19709-3111 | 2020-07-24 |
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1366080624 | Jennifer Calahan | Counselor | 10 Jersey Ct, Middletown, DE 19709-6813 | 2019-12-18 |
| 1679111991 | Better Days Counseling, LLC | Counselor | 360 Main St Apt 2, Middletown, CT 06457-3375 | 2019-12-17 |
| 1508425612 | Shatema Smith | Counselor | 4 Cobb Ln Apt J, Middletown, NY 10940-7049 | 2019-06-12 |
| 1801371729 | Taylor S Smith | Counselor | 1801 Oberlin Rd Ste 30312, Middletown, PA 17057-2998 | 2018-09-26 |
| 1922586288 | Christiana Care Health Services Inc | Counselor | 1080 Bunker Hill Rd, Middletown, DE 19709-9026 | 2018-07-30 |
| 1295227148 | Nicole May | Counselor | 11 Jimal Dr, Middletown, NY 10940-3649 | 2018-06-05 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45005 |
Please comment or provide details below to improve the information on SUSAN HAAG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.