Active NPI
Michael Haigis
- Mental Health Counselor
- La Mesa, CA
National Provider Identifier
1144558073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3845 Avocado School Rd
La Mesa, CA 91941-7319 - Phone
- (619) 588-3653
- Fax
- (619) 588-3654
- NPI assigned
- Dec 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3845 Avocado School Rd
La Mesa, CA 91941-7319
Mailing address
3845 Avocado School Rd
La Mesa, CA 91941
Phone (619) 588-3645
Other practice location 1
2535 Kettner Blvd
Suite 1A4
San Diego, CA 92101-1250
Phone (619) 615-0701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144558073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3845 AVOCADO SCHOOL RD",
"city": "LA MESA",
"state": "CA",
"postal_code": "91941",
"telephone_number": "619-588-3645",
"fax_number": "619-588-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 AVOCADO SCHOOL RD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417319",
"telephone_number": "619-588-3653",
"fax_number": "619-588-3654"
}
],
"practiceLocations": [
{
"address_1": "2535 Kettner Blvd",
"address_2": "Suite 1A4",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921011250",
"country_code": "US",
"telephone_number": "619-615-0701",
"fax_number": "619-615-0705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAIGIS",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.