Haida Denise Caruso

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Selah, WA

NPI 1104777457 · NPPES record last updated Feb 4, 2026

Key facts

NPI
1104777457
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CDPT.CO.61615687 (WA)
Practice address
PO Box 217
Selah, WA 98942-0217
Phone
(509) 457-0990
NPI assigned
Feb 4, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CDPT.CO.61615687WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sundown M Ranch Past Accepting new patients
Sundown M Ranch Past
since Jan 17, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDPT.CO.61615687 WA Yes

Addresses

Primary practice location

PO Box 217
Selah, WA 98942-0217

Mailing address

1210 Cherry Ave
Sunnyside, WA 98944-1704
Phone (509) 457-0990

Other providers in Selah, WA

All providers in Selah, WA · Addiction (Substance Use Disorder) Counselor in Washington

Sources for this page

Verify at the official NPI Registry.