Kathy Davis Haecker, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67516 Issued in TX

Practice address

209 N Industrial Blvd
Suite 237
Bedford, TX 76021-6128

Phone

(817) 571-4110

Fax

(817) 571-4117

NPI assigned

Feb 12, 2016

Last updated

Feb 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kathy Fern Haecker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1174982615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 JOHN VERNON LN",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760404723",
            "telephone_number": "817-247-0608",
            "fax_number": "817-571-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N INDUSTRIAL BLVD",
            "address_2": "SUITE 237",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216128",
            "telephone_number": "817-571-4110",
            "fax_number": "817-571-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAECKER",
        "first_name": "KATHY",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "HAECKER",
            "middle_name": "FERN",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Bedford, TX
• Providers in Bedford, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.