Active NPI
Andro Kim Haws, MC, LPC
- Counselor
- Bridgeport, WV
National Provider Identifier
1184888422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1902
- Practice address
- 111 Davisson St
Bridgeport, WV 26330 - Phone
- (304) 842-7329
- NPI assigned
- Jul 16, 2008
- Last updated
- Jul 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1902 | WV | Primary |
Addresses
Primary practice location
111 Davisson St
Bridgeport, WV 26330
Mailing address
111 Davisson St
Bridgeport, WV 26330
Phone (304) 842-7329
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1902 | WV | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1184888422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DAVISSON ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-842-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DAVISSON ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-842-7329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWS",
"first_name": "ANDRO",
"middle_name": "KIM",
"name_prefix": "Mr.",
"credential": "MC, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WV",
"license": "1902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.