MS. SUSAN MAWDESLEY HAINES (NPI# 1679610018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679610018 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MAWDESLEY HAINES |
| Credential | MS, CDS III, NCGC II |
| Practice Address |
131 Ne 102nd Ave Portland OR 97220-4167 |
| Mailing Address |
1507 Cedar St Lake Oswego OR 97034-4713 |
| Practice Telephone | 5032536754 |
| Practice Fax Number | 5032538020 |
| Mailing Telephone | 5036365039 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528317989 | Susan Carol Haines | Dietitian, Registered | 1501 San Pedro Dr Se, Nutrition 120, Albuquerque, NM 87108-5153 | 2012-08-31 |
| 1992079701 | Susan Fulton Haines | Nurse Practitioner | 1186 Highway A1a, Satellite Beach, FL 32937-2479 | 2012-02-27 |
| 1962798199 | Susan Honor Haines | Counselor | 1409 Clark St, Des Moines, IA 50314-1964 | 2011-06-27 |
| 1699921973 | Susan Haines | Licensed Practical Nurse | 111 Port Watson St, Cortland, NY 13045-3157 | 2008-08-18 |
| 1871776005 | Susan Ann Haines | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2007-12-11 |
| 1811964356 | Susan G Haines | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-03-03 |
| Street Address |
131 NE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366464570 | Jeffery Franklin Foster | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2006-07-24 |
| 1265657159 | Amy Ruth | Psychiatry & Neurology | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-04-16 |
| 1881731750 | Deborah Jeanne Wright | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-31 |
| 1245376730 | Carmen Tara Corbin II | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-30 |
| 1568509677 | James John Heidrick | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-30 |
| 1184760019 | Carol A Schmidt | Case Manager/Care Coordinator | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-29 |
| 1023154846 | Brooke Ann Sheehan | Nurse Practitioner | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-29 |
| 1801940325 | Jerray Anthony Brannon | Case Manager/Care Coordinator | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-22 |
| 1861544033 | Stacy Lynn Riser | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2007-01-17 |
| 1104912872 | Diane K Rose | Counselor | 131 Ne 102nd Ave, Portland, OR 97220-4167 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MS. SUSAN MAWDESLEY HAINES.
| 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.